Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | G142042 | CA |
Y | 207VE0102X | Reproductive Endocrinologist | G142042 | CA |
NPI | 1093725731 |
---|---|
Provider Name | Debra A. Minjarez |
First Address | Santa Barbara, CA 93101-2526 |
Second Address | Santa Barbara, CA 93101-2526 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/08/2006 |
Last Update Date | 12/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G50729 | (02) | CO |