Provider Demographics
NPI:1750189650
Name:ECCLES, EMMA
Entity type:Individual
Prefix:
First Name:EMMA
Middle Name:
Last Name:ECCLES
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5473 HANNA DR
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93111-1655
Mailing Address - Country:US
Mailing Address - Phone:805-450-2740
Mailing Address - Fax:
Practice Address - Street 1:5473 HANNA DR
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93111-1655
Practice Address - Country:US
Practice Address - Phone:805-450-2740
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-05
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant