Provider Demographics
NPI:1225251903
Name:WITTENSTEIN, CHRISTEL J (MD)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTEL
Middle Name:J
Last Name:WITTENSTEIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CHRISTEL
Other - Middle Name:J
Other - Last Name:BEJENKE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:4004 CUERVO AVE
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93110-2412
Mailing Address - Country:US
Mailing Address - Phone:805-682-7466
Mailing Address - Fax:805-687-4171
Practice Address - Street 1:504 W PUEBLO ST
Practice Address - Street 2:SUITE 304
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-6211
Practice Address - Country:US
Practice Address - Phone:805-682-7466
Practice Address - Fax:805-687-4121
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA 21818207LP3000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP3000XAllopathic & Osteopathic PhysiciansAnesthesiologyPediatric Anesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0021818Medicaid
CAA 82503Medicare UPIN
CA0021818Medicaid