Individual
EBRAHIM DUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 N MAIN ST, SANTA ANA, CA 92701-4852
(714) 547-6641
(714) 541-8161
Mailing address
301 N MAIN ST, SANTA ANA, CA 92701-4852
(714) 547-6641
(714) 541-8161
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A33882
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A338821
—
CA
Enumeration date
07/31/2006
Last updated
03/07/2023
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