Provider Demographics
NPI:1730555111
Name:VERDUZCO FAMILY CARE LLC
Entity type:Organization
Organization Name:VERDUZCO FAMILY CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:VERDUZCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-229-9465
Mailing Address - Street 1:5266 HOLLISTER AVE
Mailing Address - Street 2:SUITE 107
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93111-2037
Mailing Address - Country:US
Mailing Address - Phone:805-845-7346
Mailing Address - Fax:805-689-0514
Practice Address - Street 1:5266 HOLLISTER AVE
Practice Address - Street 2:SUITE 107
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93111-2037
Practice Address - Country:US
Practice Address - Phone:805-845-7346
Practice Address - Fax:805-689-0514
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-19
Last Update Date:2015-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care