Provider Demographics
NPI:1649376351
Name:KUNZ, JOHN DAVID (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:DAVID
Last Name:KUNZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:101 W ARRELLAGA ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-2987
Mailing Address - Country:US
Mailing Address - Phone:805-568-0799
Mailing Address - Fax:805-568-0741
Practice Address - Street 1:101 W ARRELLAGA ST
Practice Address - Street 2:SUITE B
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-2987
Practice Address - Country:US
Practice Address - Phone:805-568-0799
Practice Address - Fax:805-568-0741
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-16
Last Update Date:2007-09-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG57797207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAFO3281Medicare UPIN
CAG57797Medicare PIN