Individual
ANANIAS E EBILANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13429 S HAWTHORNE BLVD, HAWTHORNE, CA 90250-5803
(310) 644-8683
(310) 644-0132
Mailing address
13429 S HAWTHORNE BLVD, HAWTHORNE, CA 90250-5803
(310) 644-8683
(310) 644-0132
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A34021
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A340210
—
CA
01
—
1144231093
NPI TYPE 2
—
01
—
WA34021E
MEDICARE PTAN
—
Enumeration date
10/25/2007
Last updated
03/27/2008
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