Provider Demographics
NPI:1700985256
Name:WEXLAR, ALAN (MD)
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:
Last Name:WEXLAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2954 STATE ST
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93105-3418
Mailing Address - Country:US
Mailing Address - Phone:805-682-7411
Mailing Address - Fax:805-682-6933
Practice Address - Street 1:2954 STATE ST
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-3418
Practice Address - Country:US
Practice Address - Phone:805-682-7411
Practice Address - Fax:805-682-6933
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2008-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG34766207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW14270Medicare PIN
CAA46068Medicare UPIN
CAW14270AMedicare PIN
CAWG34766FMedicare PIN