Organization
CENTRAL COAST PERINATAL MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEJANDRO SOFFICI MD (PRESIDENT)
(805) 898-0258
Entity
Organization
Contact information
Practice address
427 W PUEBLO ST STE A, SANTA BARBARA, CA 93105
(805) 898-0258
(805) 898-2048
Mailing address
PO BOX 6272, SANTA BARBARA, CA 93160-6272
(805) 898-0258
(805) 898-2048
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
G65077
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861617045
—
CA
Enumeration date
04/14/2007
Last updated
07/17/2018
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