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Individual

MICHAEL EBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
25612 BARTON RD # 327, LOMA LINDA, CA 92354-3110
(951) 314-8917
Mailing address
25612 BARTON RD # 327, LOMA LINDA, CA 92354-3110
(951) 314-8917

Taxonomy

Speciality
Code
Description
License number
State
207VC0200X
Critical Care Medicine (Obstetrics & Gynecology) Physician
A70664
CA
2086S0102X
Surgical Critical Care Physician
Primary
A70664
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A706640
CA
Enumeration date
07/21/2006
Last updated
04/18/2025
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