Individual
DOUGLAS P EBBERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S. IN ED.
Contact information
Practice address
3665 KEARNY VILLA RD, SUITE 405, SAN DIEGO, CA 92123-1953
(858) 966-1700
Mailing address
3020 CHILDREN'S WAY, MC 5111, SAN DIEGO, CA 92123-4282
(858) 966-1700
(858) 966-7521
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/11/2008
Last updated
01/11/2008
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