Individual
RAY DOUGLAS SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
215 PESETAS LN, SANTA BARBARA, CA 93110-1416
(805) 681-1761
(805) 681-1761
Mailing address
PO BOX 62106, SANTA BARBARA, CA 93160-2106
(805) 681-1761
(805) 681-1768
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
C35254
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C352540
—
CA
Enumeration date
09/16/2006
Last updated
02/04/2022
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