| Jeffrey R. Polito M.d. A Professional Corporation | |
|
334 S Patterson Ave Santa Barbara CA 93111-2400 | |
| (805) 681-1490 | |
| (805) 681-1593 |
| Full Name | Jeffrey R. Polito M.d. A Professional Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 334 S Patterson Ave, Santa Barbara, California |
| Authorized Official Name and Position | Jeffrey Robert Polito (PRESIDENT) |
| Authorized Official Contact | 8056811490 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey R. Polito M.d. A Professional Corporation 334 S Patterson Ave Santa Barbara CA 93111-2400 Ph: (805) 681-1490 | Jeffrey R. Polito M.d. A Professional Corporation 334 S Patterson Ave Santa Barbara CA 93111-2400 Ph: (805) 681-1490 |
| NPI Number | 1053452037 |
|---|---|
| Provider Enumeration Date | 02/10/2007 |
| Last Update Date | 03/20/2015 |
| Medicare PECOS PAC ID | 9335247808 |
|---|---|
| Medicare Enrollment ID | O20070606000576 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053452037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A69265 (California) | Primary |
| Provider Name | Jeffrey R Polito |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679525034 PECOS PAC ID: 6103920202 Enrollment ID: I20070329000424 |
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