Provider Demographics
NPI:1881934594
Name:PUEBLO SANTA BARBARA WOMEN'S IMAGING ASSOCIATES, INC
Entity type:Organization
Organization Name:PUEBLO SANTA BARBARA WOMEN'S IMAGING ASSOCIATES, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:WINIFRED
Authorized Official - Middle Name:K
Authorized Official - Last Name:LEUNG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:805-682-7984
Mailing Address - Street 1:PO BOX 1326
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93102-1326
Mailing Address - Country:US
Mailing Address - Phone:805-682-7984
Mailing Address - Fax:805-569-2964
Practice Address - Street 1:1525 STATE ST
Practice Address - Street 2:SUITE 102
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-2500
Practice Address - Country:US
Practice Address - Phone:805-560-8111
Practice Address - Fax:805-560-6900
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PUEBLO RADIOLOGY MEDICAL GROUP, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-02-18
Last Update Date:2013-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty