Provider Demographics
NPI:1104958339
Name:PLASTIC SURGERY AND HAND SURGERY CLINIC OF SANTA BARBARA, INC
Entity type:Organization
Organization Name:PLASTIC SURGERY AND HAND SURGERY CLINIC OF SANTA BARBARA, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:GILBERT
Authorized Official - Last Name:CHAPPLE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:805-966-2203
Mailing Address - Street 1:511 E ARRELLAGA ST
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93103-2205
Mailing Address - Country:US
Mailing Address - Phone:805-966-2203
Mailing Address - Fax:805-966-7821
Practice Address - Street 1:511 E ARRELLAGA ST
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93103-2205
Practice Address - Country:US
Practice Address - Phone:805-966-2203
Practice Address - Fax:805-966-7821
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-12
Last Update Date:2008-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA21284174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty