| Organization Name: | MICHAEL C. BORDOFSKY MD |
| NPI Number: | 1265629893 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL BORDOFSKY (OWNER) |
| Mailing Address: | 2320 Bath St Ste 201 Santa Barbara |
| State: | CA US |
| Postal Code: | 931054344 |
| Phone Number: | 8059633336 |
| Fax Number: | 8055643332 |
| NPI Enumeration Date: | 09/27/2007 |
| NPI Last Update Date: | 06/17/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 00G753640 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |