Provider Demographics
NPI:1316063514
Name:VANHOEK, KARIN (MD)
Entity type:Individual
Prefix:
First Name:KARIN
Middle Name:
Last Name:VANHOEK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 30303
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93130-0303
Mailing Address - Country:US
Mailing Address - Phone:805-898-0406
Mailing Address - Fax:805-898-0364
Practice Address - Street 1:2416 CASTILLO ST
Practice Address - Street 2:SUITE B
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-4342
Practice Address - Country:US
Practice Address - Phone:805-898-0406
Practice Address - Fax:805-898-0364
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2007-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC42275207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWC42275EMedicare ID - Type UnspecifiedPERSONAL
CAC65562Medicare UPIN