Santa Barbara Select Ipa, INC
NPI #1770614281 in San Dimas, California
Provider Information
- NPI Number
- 1770614281
- Entity Type
- Organization
- Organization Name
- Santa Barbara Select Ipa, INC
- Primary Specialty
- Contractor
- Enumeration Date
- Mar 8, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 955 OVERLAND CT FL 2
- City
- San Dimas
- State
- California
- ZIP Code
- 91773-1718
- Phone
- (909) 971-6740
Authorized Official
- Name
- DR. KIRK S. GILBERT, MD
- Title
- MEDICAL DIRECTOR
- Phone
- (805) 687-1505
Specialties & Taxonomy Codes
| Specialty |
|---|
| Contractor |
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