Provider Demographics
NPI:1780603779
Name:RINK, DONALD TALBOT (MD)
Entity type:Individual
Prefix:
First Name:DONALD
Middle Name:TALBOT
Last Name:RINK
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 1:2323 DE LA VINA ST STE 209
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93105-3880
Mailing Address - Country:US
Mailing Address - Phone:805-563-9666
Mailing Address - Fax:805-898-2283
Practice Address - Street 1:2323 DE LA VINA ST STE 209
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-3880
Practice Address - Country:US
Practice Address - Phone:805-563-9666
Practice Address - Fax:805-898-2283
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2007-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA24884174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA24177Medicare UPIN