| Coastal Geriatrics, Inc | |
|
1919 State St Ste 301 Santa Barbara CA 93101-8443 | |
| (805) 817-0099 | |
| Not Available |
| Full Name | Coastal Geriatrics, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1919 State St Ste 301, Santa Barbara, California |
| Authorized Official Name and Position | Camille Hunter (CEO) |
| Authorized Official Contact | 5202257745 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Geriatrics, Inc 1919 State St Ste 301 Santa Barbara CA 93101-8443 Ph: (805) 817-0099 | Coastal Geriatrics, Inc 1919 State St Ste 301 Santa Barbara CA 93101-8443 Ph: (805) 817-0099 |
| NPI Number | 1205431087 |
|---|---|
| Provider Enumeration Date | 12/01/2020 |
| Last Update Date | 12/01/2020 |
| Medicare PECOS PAC ID | 0244644318 |
|---|---|
| Medicare Enrollment ID | O20210201001868 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205431087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Camille Marie Hunter |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1609228600 PECOS PAC ID: 2062826134 Enrollment ID: I20210201001919 |
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