Individual
DR. DALE ETHAN EKSTRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
217 WEST CENTRAL AVENUE, SUITE G, LOMPOC, CA 93436-2830
(805) 735-4292
(805) 735-4293
Mailing address
117 WEST BUNNY AVENUE, SANTA MARIA, CA 93458-2805
(805) 735-4292
(805) 735-4293
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G69286
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB207338
MEDICARE ID
CA
Enumeration date
12/01/2006
Last updated
12/26/2015
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