Organization
ARBOR MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD DAVID EBNER M.D. (PRESIDENT/OWNER)
(805) 928-3678
Entity
Organization
Contact information
Practice address
1418 E MAIN ST, SUITE 210, SANTA MARIA, CA 93454-4802
(805) 928-3678
(805) 928-6408
Mailing address
1418 E MAIN ST, SUITE 210, SANTA MARIA, CA 93454-4802
(805) 928-3678
(805) 928-6408
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DA4332
MEICARE RR
—
01
—
W10404D
MEDICARE GROUP NUMBER
CA
Enumeration date
10/12/2006
Last updated
01/09/2008
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