Daniel A Ebroon (NPI# 1023050655, PAC ID# 3072400290) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1023050655 |
| PAC ID by PECOS | 3072400290 |
| Professional Enrollment ID | I20040311000961 |
| Full Name | Daniel A Ebroon |
| Organization Legal Name | CSE MEDICAL GROUP INC. |
| Address |
351 Rolling Oaks Dr Suite 102 Thousand Oaks CA 91361-1268 |
| Phone Number | 8054973744 |
| Gender | M |
| Credential | MD |
| Medical School | NORTHWESTERN UNIVERSITY MEDICAL SCHOOL |
| Graduation Year | 1993 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 4082682034 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050549 | LOS ROBLES HOSPITAL & MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 351 Rolling Oaks Dr, Suite 102, Thousand Oaks, CA 91361-1268 | 8054973744 | CSE MEDICAL GROUP INC. |
| 3085 Loma Vista Rd, Ventura, CA 93003-2916 | 8056483085 | JOEL M CORWIN MD A MEDICAL CORPORATION |
| Organization Legal Name | CSE MEDICAL GROUP INC. |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John M. Ora | Optometry | Cse Medical Group Inc. | 28040 Dorothy Dr, Suite 103, Agoura Hills, CA 91301-4915 |
| Benica Eyvazzadeh | Optometry | Cse Medical Group Inc. | 351 Rolling Oaks Dr, Suite 102, Thousand Oaks, CA 91361-1268 |
| Ashish Toor | Ophthalmology | Cse Medical Group Inc. | 351 Rolling Oaks Dr, Suite 102, Thousand Oaks, CA 91361-1268 |
| Shayna J Mangers | Ophthalmology | Cse Medical Group Inc. | 351 Rolling Oaks Dr, Suite 102, Thousand Oaks, CA 91361-1268 |
| David I Halpert | Optometry | Cse Medical Group Inc. | 28040 Dorothy Dr, Suite 103, Agoura Hills, CA 91301-4915 |
| Steven R Corwin | Ophthalmology | Cse Medical Group Inc. | 1220 La Venta Dr, Suite 203, Westlake Village, CA 91361-3751 |
| Jaspinder K Kalra | Optometry | Cse Medical Group Inc. | 2045 Royal Ave, Suite 125, Simi Valley, CA 93065-4667 |
| Street Address |
351 ROLLING OAKS DR SUITE 102 |
| City | THOUSAND OAKS |
| State | CA |
| Zip | 91361-1268 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benica Eyvazzadeh | Optometry | Cse Medical Group Inc. | 351 Rolling Oaks Dr, Suite 102, Thousand Oaks, CA 91361-1268 |
| Ashish Toor | Ophthalmology | Cse Medical Group Inc. | 351 Rolling Oaks Dr, Suite 102, Thousand Oaks, CA 91361-1268 |
| Tjerk Fridolin Bury | Plastic and Reconstructive Surgery | 351 Rolling Oaks Dr, Suite 203, Thousand Oaks, CA 91361-1268 | |
| Shayna J Mangers | Ophthalmology | Cse Medical Group Inc. | 351 Rolling Oaks Dr, Suite 102, Thousand Oaks, CA 91361-1268 |
| Theodore R. Corwin | Plastic and Reconstructive Surgery | Theodore R. Corwin, M.d., P.C. | 351 Rolling Oaks Dr, Thousand Oaks, CA 91361-1278 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pezhman Nazemi | Ophthalmology | 351 E Rollings Oaks Dr, Suite 201, Thousand Oaks, CA 91361 | |
| Irina Feldman | Family Medicine | 375 Rolling Oaks Dr, Suite 115, Thousand Oaks, CA 91361-1000 | |
| Christine E Dahlin | Internal Medicine | 375 Rolling Oaks Dr, Suite 115, Thousand Oaks, CA 91361-1000 | |
| Kelley Ann Bannon | Qualified Audiologist | Decibel Hearing Services | 375 Rolling Oaks Dr, Suite 140, Thousand Oaks, CA 91361-1001 |
| Kenneth A Raven | Psychologist, Clinical | 25 W Rolling Oaks Dr, Suite 107, Thousand Oaks, CA 91361-1003 | |
| Steven Hershel Suchman | Family Medicine | 77 Rolling Oaks Dr, Suite 305, Thousand Oaks, CA 91361-1007 | |
| Barbara L Irish | Physician Assistant | Hullander and Mozingo Lp | 339 S Moorpark Rd, Thousand Oaks, CA 91361-1008 |
| Martin M Mortazavi | Neurosurgery | California Brain Institute Inc | 333 S Moorpark Rd, Thousand Oaks, CA 91361-1008 |
| Nicholas Fettman | Otolaryngology | West Coast Ear, Nose and Throat | 302 S Moorpark Rd, Thousand Oaks, CA 91361-1008 |
| David Rosenfeld | Colorectal Surgery (proctology) | David B. Rosenfeld Md Inc | 341 S Moorpark Rd, T.o.p., Thousand Oaks, CA 91361-1008 |
| Find all physicians in zip 91361 | |||
| City | THOUSAND OAKS |
| Zip Code | 91361 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | THOUSAND OAKS + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Daniel A Ebroon.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.