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Organization

DALE EKSTRUM MD INC

Active
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Organization

DALE EKSTRUM MD INC

Active
Other names
Urgent Care Family Care
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DALE ETHAN EKSTRUM MD (CEO)
(805) 735-4292
Entity
Organization

Contact information

Practice address
217 W CENTRAL AVE STE A, LOMPOC, CA 93436-2830
(805) 735-4999
(805) 294-1711
Mailing address
217 W CENTRAL AVE, SUITE G, LOMPOC, CA 93436-2830
(805) 735-4292
(805) 735-4293

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G69286
CA

Other

Enumeration date
09/24/2007
Last updated
08/20/2026
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