Organization
ALTA ORTHOPAEDIC MEDICAL GROUP, INC.
Active
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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