Provider Demographics
NPI:1033497623
Name:MOEL, STEVEN ALLEN (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:ALLEN
Last Name:MOEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:167 VISTA DEL MAR DR
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93109-1049
Mailing Address - Country:US
Mailing Address - Phone:805-692-1440
Mailing Address - Fax:
Practice Address - Street 1:167 VISTA DEL MAR DR
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93109-1049
Practice Address - Country:US
Practice Address - Phone:805-692-1440
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-29
Last Update Date:2011-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAGFE36037207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology