Micon, Monica

Micon, Monica is an individual health care provider with primary practice located at Pueblo & Bath St. , Santa Barbara CA 93105-4390. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Micon, Monica can be contacted via phone (805) 569-7279.

Contact Information

Primary practice address
Pueblo & Bath St. Santa Barbara CA 93105-4390
Phone: (805) 569-7279
Fax: (805) 569-8279
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X G50225 California

Profile Details

NPI number 1730188236
LBN Legal business name Micon, Monica
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Aug 18th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730188236 NPPES
Other 00G502250 BLUE SHIELD OF CA
MEDICAID 00G502250 BLUE SHIELD OF CA
Other 050396CE93257 BLUE SHIELD OF CA
Other 300129072 BLUE SHIELD OF CA

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