Provider Demographics
NPI:1619428489
Name:MONTECITO SURGERY CENTER
Entity Type:Organization
Organization Name:MONTECITO SURGERY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:LOWENSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-969-9004
Mailing Address - Street 1:1722 STATE ST
Mailing Address - Street 2:101
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-2458
Mailing Address - Country:US
Mailing Address - Phone:805-969-9004
Mailing Address - Fax:805-969-7224
Practice Address - Street 1:1722 STATE ST
Practice Address - Street 2:101
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-2458
Practice Address - Country:US
Practice Address - Phone:805-969-9004
Practice Address - Fax:805-969-7224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-17
Last Update Date:2016-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical