Central Coast Perinatal Medical Group Inc
Organization Active NPI Maternal & Fetal Medicine Physician · Santa Barbara, CA
NPI 1861617045 · NPPES record last updated Jul 17, 2018
Key facts
- NPI
- 1861617045
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Maternal & Fetal Medicine Physician 207VM0101X
- License
- G65077 (CA)
- Legal business name
- CENTRAL COAST PERINATAL MEDICAL GROUP INC
- Practice address
- 427 W Pueblo St Ste a
Santa Barbara, CA 93105 - Phone
- (805) 898-0258
- Fax
- (805) 898-2048
- NPI assigned
- Apr 14, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Alejandro Soffici, MD
- Title
- President
- Phone
- (805) 898-0258
Practitioners 2
-
Bonnie J Dattel, M.D.
-
Alex Soffici, M.D.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Maternal & Fetal Medicine Physician |
207VM0101X | G65077 | CA | Yes |
Addresses
Primary practice location
427 W Pueblo St Ste a
Santa Barbara, CA 93105
Mailing address
PO Box 6272
Santa Barbara, CA 93160-6272
Phone (805) 898-0258
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861617045 | Medicaid | CA |
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All providers in Santa Barbara, CA · Maternal & Fetal Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.