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NPI Code Detail

MEDICARE: ARBOR MEDICAL GROUP

MEDICARE: ARBOR MEDICAL GROUP
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
1174400000XSpecialistG25834CA

General Provider Information

NPI Number : 1346318987
Entity Type Code : Organization
Provider Name (Legal Business Name) : ARBOR MEDICAL GROUP
Provider Business Mailing Address
First Line : 1300 E CYPRESS ST
Second Line : SUITE B
City : SANTA MARIA
State : CA
Zip : 93454-4728
Country : US
Telephone Number : 805-928-3678
Fax Number : 805-928-6408
Provider Business Practice Location Address
First Line : 1300 E CYPRESS ST
Second Line : SUITE B
City : SANTA MARIA
State : CA
Zip : 93454-4728
Country : US
Telephone Number : 805-928-3678
Fax Number : 805-928-6408
Authorized Official
Title or Position : PRESIDENT
Name : DR. GERALD DAVID EBNER
Credential : MD
Telephone Number : 805-928-3678
Provider Enumeration Date : 12/01/2006
Last Update Date : 08/22/2020

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Directions to “ARBOR MEDICAL GROUP ” Practice Location

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