Organization
CHILDREN'S MEDICAL CLINIC OF SANTA BARBARA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL J KULLIK (BUSINESS MANAGER)
(805) 965-1095
Entity
Organization
Contact information
Practice address
15 E ARRELLAGA ST, SANTA BARBARA, CA 93101-2531
(805) 965-1095
(805) 965-8905
Mailing address
15 E ARRELLAGA ST, SANTA BARBARA, CA 93101-2531
(805) 965-1095
(805) 963-8205
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FNP16054
BMQA
CA
05
—
GR0027590
—
CA
Enumeration date
07/14/2006
Last updated
08/22/2020
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