Provider Demographics
NPI:1548215932
Name:SIEGFRIED, VIRGINIA A (MD)
Entity Type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:A
Last Name:SIEGFRIED
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:518 GARDEN STREET
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101
Mailing Address - Country:US
Mailing Address - Phone:805-963-2245
Mailing Address - Fax:805-965-2292
Practice Address - Street 1:518 GARDEN STREET
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101
Practice Address - Country:US
Practice Address - Phone:805-963-2245
Practice Address - Fax:805-965-2292
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2010-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG42637207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CARE3527OtherMEDICARE
CADD833XMedicare PIN