Provider Demographics
NPI:1871996041
Name:ISAAC, ISAIAS
Entity type:Individual
Prefix:
First Name:ISAIAS
Middle Name:
Last Name:ISAAC
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:ISAIAS
Other - Middle Name:HERNANDEZ
Other - Last Name:ISAAC
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:STUDENT HEALTH BUILDING 588 A BUILDING
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93106-0001
Mailing Address - Country:US
Mailing Address - Phone:805-893-2116
Mailing Address - Fax:805-893-2736
Practice Address - Street 1:STUDENT HEALTH BUILDING 588 A BUILDING
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93106-0001
Practice Address - Country:US
Practice Address - Phone:805-893-2116
Practice Address - Fax:805-893-2736
Is Sole Proprietor?:No
Enumeration Date:2014-10-02
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA71716183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist