Daniel Ebroon
Ophthalmologist
351 Rolling Oaks Dr Ste 102
Thousand Oaks
, California 91361-1279
Daniel Ebroon
Ophthalmologist
351 Rolling Oaks Dr Ste 102
Thousand Oaks
, California 91361-1279
(805) 497-1663
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About
Features
Specialties
- Ophthalmologist
Languages spoken
- English
Location
First Address
- Daniel Ebroon
- 351 Rolling Oaks Dr Ste 102
- Thousand Oaks, CA
- Zip : 91361-1279
- Fax : (805) 497-1663
- Phone : (805) 497-3744
Second Address
- Daniel Ebroon
- 351 Rolling Oaks Dr Ste 102
- Thousand Oaks, CA
- Zip : 91361-1279
- Fax : (805) 497-1663
- Phone : (805) 497-3744
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207W00000X | Ophthalmologist | G85742 | CA |
National Provider Identifier
| NPI | 1023050655 |
|---|---|
| Provider Name | Daniel Ebroon |
| First Address | Thousand Oaks, CA 91361-1279 |
| Second Address | Thousand Oaks, CA 91361-1279 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/06/2006 |
| Last Update Date | 09/03/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 205153800 | US DEPT. OF LABOR (01) | CA |
| G47481 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.