Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | A72656 | CA |
Y | 111NI0900X | Internist | A72656 | CA |
NPI | 1003199126 |
---|---|
Provider Name | Dr. Bonnie Beth Prinz |
First Address | Santa Barbara, CA 93160-2106 |
Second Address | Santa Barbara, CA 93110-1416 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/09/2011 |
Last Update Date | 15/01/2015 |