Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | A108605 | CA |
NPI | 1134310006 |
---|---|
Provider Name | Christian H Powell |
First Address | Santa Barbara, CA 93160-2106 |
Second Address | Santa Barbara, CA 93110-1416 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/08/2007 |
Last Update Date | 29/12/2011 |