Individual
JEFFREY MARK GAUVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 W PUEBLO ST, SANTA BARBARA, CA 93105-4353
(805) 569-7316
(805) 569-7317
Mailing address
PO BOX 1206, GOLETA, CA 93116-1206
(805) 569-7316
(805) 683-3400
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A99759
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902814783
—
CA
Enumeration date
08/04/2006
Last updated
12/07/2022
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