Organization
ALTA ORTHOPAEDIC MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN ALEN KENT M.H.A. (ADMINISTRATOR)
(805) 963-9377
Entity
Organization
Contact information
Practice address
511 BATH ST, SANTA BARBARA, CA 93101-3403
(805) 963-9377
(805) 962-2154
Mailing address
511 BATH ST, SANTA BARBARA, CA 93101-3403
(805) 963-9377
(805) 962-2154
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT12281
CA
Other
Enumeration date
09/24/2007
Last updated
09/24/2007
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