Individual
DR. EZRA THEODORE FRASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
421 30TH ST, HERMOSA BEACH, CA 90254-2131
(415) 902-5621
Mailing address
421 30TH ST, HERMOSA BEACH, CA 90254-2131
(415) 902-5621
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A112170
CA
2085R0204X
Vascular & Interventional Radiology Physician
A112170
CA
Other
Enumeration date
08/18/2009
Last updated
01/26/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us