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VANCE C EBERLY MD INC NPI 1659518355


NPI Information

NPI: 1659518355
Provider Name: VANCE C EBERLY MD INC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
11525 BROOKSHIRE AVE
SUITE 405
DOWNEY, CA
ZIP 90241
Phone: (714) 849-6023
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VANCE C EBERLY MD INC is a specialist in Downey, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. VANCE C EBERLY MD INC NPI is 1659518355. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11525 BROOKSHIRE AVE
SUITE 405
DOWNEY, CA
ZIP 90241-985
Phone: (714) 849-6023
Fax: (714) 849-6023

The provider's authorized official is Vance Charles Eberly .
The authorized official title is President and has the following contact phone number (562) 869-4421.

The enumeration date for this NPI number is 1/16/2009 and was last updated on 3/22/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistG81586CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1BE946MEDICARE PINCALIFORNIA
2G85042MEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.