| James L Kwako Md Wellness Medicine | |
|
1805 E Cabrillo Blvd Suite D Santa Barbara CA 93108-2884 | |
| (805) 565-3959 | |
| (805) 568-3989 |
| Full Name | James L Kwako Md Wellness Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 1805 E Cabrillo Blvd, Santa Barbara, California |
| Authorized Official Name and Position | James L Kwako (PRESIDENT) |
| Authorized Official Contact | 8055653959 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| James L Kwako Md Wellness Medicine 1805 E Cabrillo Blvd Suite D Santa Barbara CA 93108-2884 Ph: (805) 565-3959 | James L Kwako Md Wellness Medicine 1805 E Cabrillo Blvd Suite D Santa Barbara CA 93108-2884 Ph: (805) 565-3959 |
| NPI Number | 1154555639 |
|---|---|
| Provider Enumeration Date | 05/12/2009 |
| Last Update Date | 05/12/2009 |
| Medicare PECOS PAC ID | 7517014582 |
|---|---|
| Medicare Enrollment ID | O20090408000252 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154555639 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | C37727 (California) | Primary |
| Provider Name | James L Kwako |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396784567 PECOS PAC ID: 6901806785 Enrollment ID: I20061228000453 |
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