Doctor Name: | CAROLYN MIRA BOLTIN |
NPI Number: | 1013937853 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | A96142 |
Business Practice Address: | Pueblo At Bath St Santa Barbara, CA - 931054390 |
Business Phone Number: | 8055697279 |
Business Fax Number: | 8055698279 |
Mailing Address: | Po Box 4219, ORANGE |
State: | CA |
Postal Code: | 928634219 |
Phone Number: | 7145715000 |
Fax Number: | 7145715055 |
NPI Enumeration Date: | 07/21/2006 |
NPI Last Update Date: | 05/15/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | A96142 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |