Provider Demographics
NPI:1073745246
Name:ZUBI, EHAAB (OD)
Entity Type:Individual
Prefix:DR
First Name:EHAAB
Middle Name:
Last Name:ZUBI
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:12263 HIGHLAND AVE
Mailing Address - Street 2:STE 120
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91739-2576
Mailing Address - Country:US
Mailing Address - Phone:909-899-5001
Mailing Address - Fax:909-899-5003
Practice Address - Street 1:12263 HIGHLAND AVE
Practice Address - Street 2:STE 120
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91739-2576
Practice Address - Country:US
Practice Address - Phone:909-899-5001
Practice Address - Fax:909-899-5003
Is Sole Proprietor?:No
Enumeration Date:2009-08-20
Last Update Date:2016-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13769152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist