Individual
JESSICA ERIN EBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1245 16TH ST STE 204125, SANTA MONICA, CA 90404-1235
(310) 315-8900
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-8707
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A187543
CA
208000000X
Pediatrics Physician
Primary
A187543
CA
Other
Enumeration date
03/21/2019
Last updated
09/01/2023
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