Provider Demographics
NPI:1902904493
Name:LEBELL, DAVID LEWIS (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:LEWIS
Last Name:LEBELL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:703 LITCHFIELD LN
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93109-1229
Mailing Address - Country:US
Mailing Address - Phone:805-886-3993
Mailing Address - Fax:805-880-8949
Practice Address - Street 1:147 N BRENT ST
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-2809
Practice Address - Country:US
Practice Address - Phone:805-652-5011
Practice Address - Fax:805-585-3007
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2021-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG047731146D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146D00000XEmergency Medical Service ProvidersPersonal Emergency Response Attendant
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA95-1683892OtherOTHER INSURANCE
CA050394OtherBLUE CROSS
CAZZZA56032OtherBLUE SHIELD
CAG047731OtherLICENSE NUMBER
CAHSC30394FMedicaid
CAZZT40394FMedicaid
CAZZZ53994ZOtherBLUE SHIELD
WG47731AMedicare PIN
CAG047731OtherLICENSE NUMBER