Organization
SANTA BARBARA SELECT IPA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIRK S. GILBERT MD (MEDICAL DIRECTOR)
(805) 687-1505
Entity
Organization
Contact information
Practice address
955 OVERLAND CT FL 2, SAN DIMAS, CA 91773-1718
(909) 971-6740
(909) 971-6790
Mailing address
PO BOX 4987, COVINA, CA 91723-4987
(909) 971-6740
(909) 971-6790
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
171W00000X
CA
Other
Enumeration date
03/08/2007
Last updated
08/22/2020
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