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Organization

ANANIAS E EBILANE M D INC

Active
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Organization

ANANIAS E EBILANE M D INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANANIAS ELACION EBILANE M.D. (PHYSICIAN/OWNER)
(310) 644-8683
Entity
Organization

Contact information

Practice address
13429 S HAWTHORNE BLVD, HAWTHORNE, CA 90250-5803
(310) 644-8683
(310) 644-0132
Mailing address
13429 S HAWTHORNE BLVD, HAWTHORNE, CA 90250-5803
(310) 644-8683
(310) 644-0132

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A340210
—
CA
01
—
W21701
MEDICARE PTAN
—
Enumeration date
08/10/2006
Last updated
09/30/2026
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