Provider Demographics
NPI:1598061541
Name:P. JOSEPH FRAWLEY M.D. MEDICAL GROUP, INC.
Entity Type:Organization
Organization Name:P. JOSEPH FRAWLEY M.D. MEDICAL GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR (INTERNAL MEDICINE)
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:FRAWLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:805-730-1580
Mailing Address - Street 1:525 E. MICHELTORENA
Mailing Address - Street 2:STE. 107
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93103
Mailing Address - Country:US
Mailing Address - Phone:805-730-1580
Mailing Address - Fax:805-730-1585
Practice Address - Street 1:525 E. MICHELTORENA
Practice Address - Street 2:STE. 107
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93103
Practice Address - Country:US
Practice Address - Phone:805-730-1580
Practice Address - Fax:805-730-1585
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-08
Last Update Date:2011-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG34475207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA45942Medicare UPIN
CAG034475Medicare Oscar/Certification