# ANANIAS E EBILANE M D INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144231093
- **Authorized official:** DR. ANANIAS ELACION EBILANE M.D. (PHYSICIAN/OWNER)
- **Authorized official phone:** (310) 644-8683

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/10/2006
- **Last updated:** 09/30/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00A340210 | — | CA |
| 01 | — | W21701 | MEDICARE PTAN | — |