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Contact Information

DEREK M BEAULIEU, MD
2921 DE LA VINA ST
SANTA BARBARA, CA93105-3309
 Phone: 805-770-3999
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

MOHS-Micrographic Surgery

207ND0101X 07 Physician/Dermatology
 

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for DEREK M BEAULIEU · (Male)

NPI # 1376033043
Status Active
Credentials MD
Entity Individual
Enumeration date 05/17/2018
Last updated 06/17/2025 - About 12 months ago
Sole proprietor 1 No
Identifiers
  • CA License # A163746
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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