Provider Demographics
NPI:1174548903
Name:DUZMAN, ERAN (MD)
Entity type:Individual
Prefix:DR
First Name:ERAN
Middle Name:
Last Name:DUZMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4605 BARRANCA PARKWAY
Mailing Address - Street 2:SUITE# 100
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92604
Mailing Address - Country:US
Mailing Address - Phone:949-733-2002
Mailing Address - Fax:949-733-1854
Practice Address - Street 1:4605 BARRANCA PARKWAY
Practice Address - Street 2:SUITE# 100
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92604
Practice Address - Country:US
Practice Address - Phone:949-733-2002
Practice Address - Fax:949-733-1854
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-13
Last Update Date:2008-01-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG84694207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A389720OtherBLUE SHEILD ID
CA00G846940Medicaid
CAG84694OtherSTATE LIC
CA00G846940Medicaid
CAG72941Medicare UPIN