Individual
MARC JEZER CHAN GEBALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1241 E DYER RD STE 145, SANTA ANA, CA 92705-5694
(949) 538-2073
Mailing address
535 W FOOTHILL BLVD UNIT 102, GLENDORA, CA 91741-2452
(626) 841-1660
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
F10170122
CA
Other
Enumeration date
09/24/2018
Last updated
09/24/2018
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