Individual
MR. JEFFREY PILADAS EBIYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
CRISTIANITOS ROAD BOX 5552223, NAVY EXPEDITIONARY MEDICAL TRAINING INSTITUTE, MCB CAMP PENDLETON, CA 92055-5225
(808) 257-5131
Mailing address
1332 DORSEY WAY, VISTA, CA 92083-3080
(760) 305-8311
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
11/29/2006
Last updated
05/02/2014
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