Organization
SANSUM CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD HINE (CHIEF FINANCIAL OFFICER)
(805) 681-1702
Entity
Organization
Contact information
Practice address
317 W PUEBLO ST, SANTA BARBARA, CA 93105-4355
(805) 681-1768
Mailing address
PO BOX 62106, SANTA BARBARA, CA 93160-2106
(805) 681-7768
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/24/2006
Last updated
06/27/2012
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