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NPI Code Detail

MEDICARE: ROBERT STEVEN EBERLE D.C.

MEDICARE: ROBERT STEVEN EBERLE D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorDC 14821CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
133-0189548OTHERCAFEDERAL ID
2DC14821OTHERCASTATE LICENSE NUMBER
3353-1217-2OTHERCASTATE ID

General Provider Information

NPI Number : 1225110265
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT STEVEN EBERLE D.C.
Provider Business Mailing Address
First Line : 23276 SOUTH POINTE
Second Line : SUITE 110
City : LAGUNA HILLS
State : CA
Zip : 92653-1430
Country : US
Telephone Number : 949-770-5052
Fax Number : 949-770-0512
Provider Business Practice Location Address
First Line : 23276 SOUTH POINTE
Second Line : SUITE 110
City : LAGUNA HILLS
State : CA
Zip : 92653-1430
Country : US
Telephone Number : 949-770-5052
Fax Number : 949-770-0512
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2006
Last Update Date : 08/24/2012

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