Individual
DR. ROBERT ANTHONY KOLARCZYK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1801 STATE ST, SUITE C, SANTA BARBARA, CA 93101-2482
(805) 569-1000
(805) 569-1155
Mailing address
1801 STATE ST, SUITE C, SANTA BARBARA, CA 93101-2482
(805) 569-1000
(805) 569-1155
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
C41910
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C419100
BLUE SHIELD PROVIDER #
CA
01
—
770160386
COMMERCIAL CARRIER ID #
CA
Enumeration date
06/27/2006
Last updated
07/12/2023
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