Provider Demographics
NPI:1497009385
Name:MP HEALTH CORP.
Entity type:Organization
Organization Name:MP HEALTH CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SILVIA
Authorized Official - Middle Name:
Authorized Official - Last Name:WASJUTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-689-1104
Mailing Address - Street 1:215 W MISSION ST
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-2820
Mailing Address - Country:US
Mailing Address - Phone:805-253-2547
Mailing Address - Fax:
Practice Address - Street 1:215 W MISSION ST
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-2820
Practice Address - Country:US
Practice Address - Phone:805-253-2547
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-31
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1255636262OtherNPI