Provider Demographics
NPI:1598066755
Name:TRAUTWEIN MEDICAL CORPORATION A
Entity Type:Organization
Organization Name:TRAUTWEIN MEDICAL CORPORATION A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAUTWEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:805-969-4025
Mailing Address - Street 1:1805 E CABRILLO BLVD
Mailing Address - Street 2:SUITE C
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93108-2884
Mailing Address - Country:US
Mailing Address - Phone:805-969-4025
Mailing Address - Fax:805-565-8926
Practice Address - Street 1:515 E MICHELTORENA ST STE C
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93103-4223
Practice Address - Country:US
Practice Address - Phone:805-563-3234
Practice Address - Fax:805-565-8926
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-04
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA82126207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty