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Dr. Ezra Theodore Fraser, MD
Diagnostic Radiology Physician in Hermosa Beach, California
NPI 1023240561

Ezra Theodore Fraser is a Diagnostic Radiology Physician based in Hermosa Beach, CA and is specialized in Diagnostic Radiology. Ezra Theodore Fraser practices in Hermosa Beach, CA and has the professional credentials of MD. The NPI Number for Ezra Theodore Fraser is 1023240561 and holds a License No. A112170 (California).

The current practice location address for Ezra Theodore Fraser is 421 30Th St, Hermosa Beach, CA and can be reached out via phone at 415-902-5621.

Location: 421 30Th St, Hermosa Beach, CA, 90254-2131
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023240561
Provider Name
Ezra Theodore Fraser
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
421 30Th St, Hermosa Beach, CA, 90254-2131
Phone Number
415-902-5621
Fax Number
Provider Enumeration Date
08/18/2009
Last Update Date
12/14/2024
institution
Provider Business Practice Location Address Details
Address
421 30Th St
City
Hermosa Beach
State
California
Zip
90254-2131
Phone Number
415-902-5621
Fax Number
person
Provider Business Mailing Address Details
Address
421 30Th St
City
Hermosa Beach
State
California
Zip
90254-2131
Phone Number
415-902-5621
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
A112170 (California)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
A112170 (California)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
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