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EZER & DABBAK MEDICAL CORPORATION
NPI 1750173019
General Practice in Fullerton, CA

Active since May 21, 2025
1817 W ORANGETHORPE AVE, FULLERTON, CA 92833(714) 515-0922(714) 449-2005 Get Directions Write a Review

NPPES record last updated: May 22, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ezer & Dabbak Medical Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EZER & DABBAK MEDICAL CORPORATION (NPI 1750173019), doing business as Ezer Medical Clinic &med Spa, is a healthcare organization registered as a general practice in Fullerton, California and active in the NPI registry since May 2025. The organization lists Daniel H. Oblitas, Ceo, as its authorized official.

NPPES Registry Identity

NPI1750173019
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameEZER & DABBAK MEDICAL CORPORATION
Location Address1817 W ORANGETHORPE AVEFullerton, CA 92833-4405
Mailing Address1817 W Orangethorpe AveFullerton, CA 92833-4405 · (714) 515-0922 · Fax (714) 449-2005
Phone(714) 515-0922
Fax(714) 449-2005
Organization SubpartNo
Authorized OfficialDaniel H. OblitasCeo · (714) 515-0922
Enumeration DateMay 21, 2025
Last NPPES UpdateMay 22, 2025
NPPES CertifiedMay 22, 2025
✔ NPI 1750173019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1817 W ORANGETHORPE AVE, Fullerton, CA 92833
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Other Names 1

Doing Business AsEzer Medical Clinic &med Spa

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ezer & Dabbak Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Ezer & Dabbak Medical Corporation, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Yong-Soon Shin
Nurse Practitioner
NPI 1366985129
1858 W ASH AVE
Fullerton, CA 92833
(714) 349-7347
✔ PECOS✔ Accepts Medicare0.3 mi
Daniel Oblitas, M.D.
Internal Medicine
NPI 1891745527
2131 W 3RD ST ST VINCENT MEDICAL CENTER
Los Angeles, CA 90057
(213) 484-7410
✔ PECOS✔ Accepts Medicare23 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ezer & Dabbak Medical Corporation's NPI number?

The NPI number for Ezer & Dabbak Medical Corporation is 1750173019. It was assigned to this organization in the NPPES registry on May 21, 2025. The provider is doing business as Ezer Medical Clinic &med Spa.

Where is Ezer & Dabbak Medical Corporation located?

Ezer & Dabbak Medical Corporation is located at 1817 W Orangethorpe Ave, Fullerton, CA 92833. The listed phone number is (714) 515-0922.

What is Ezer & Dabbak Medical Corporation's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Ezer & Dabbak Medical Corporation enrolled in Medicare?

Yes. Ezer & Dabbak Medical Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ezer & Dabbak Medical Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Ezer & Dabbak Medical Corporation, in Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ezer & Dabbak Medical Corporation was last updated on May 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.