Provider Demographics
NPI:1417125287
Name:EFRAIM DUZMAN M.D., INC
Entity Type:Organization
Organization Name:EFRAIM DUZMAN M.D., INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DORIT
Authorized Official - Middle Name:
Authorized Official - Last Name:DUZMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-895-5614
Mailing Address - Street 1:4605 BARRANCA PKWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92604-4767
Mailing Address - Country:US
Mailing Address - Phone:949-733-2002
Mailing Address - Fax:949-733-1854
Practice Address - Street 1:4605 BARRANCA PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92604-4767
Practice Address - Country:US
Practice Address - Phone:949-733-2002
Practice Address - Fax:949-733-1854
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-14
Last Update Date:2010-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
No152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty