Individual
DANIEL EBROON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
351 ROLLING OAKS DR STE 102, THOUSAND OAKS, CA 91361-1279
(805) 497-3744
(805) 497-1663
Mailing address
351 ROLLING OAKS DR STE 102, THOUSAND OAKS, CA 91361-1279
(805) 497-3744
(805) 497-1663
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G85742
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
205153800
US DEPT. OF LABOR
CA
Enumeration date
06/11/2006
Last updated
03/09/2021
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