Ezer & Dabbak Medical Corporation

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

EZER & DABBAK MEDICAL CORPORATION

Practice address

1817 W Orangethorpe Ave
Fullerton, CA 92833-4405

Phone

(714) 515-0922

Fax

(714) 449-2005

NPI assigned

May 21, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Daniel H. Oblitas, MDNPI 1891745527

Title

Ceo

Phone

(714) 515-0922

Specialties & licenses 1

Addresses

Other names 1

• EZER MEDICAL CLINIC &MED SPA Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel H Oblitas, M.D.

  • Hospitalist Physician
  • Los Angeles, CA
  • NPI 1891745527
  Medicare reassignment NPD Authorized official
• Yong Shin

  • Family Nurse Practitioner
  • Fullerton, CA
  • NPI 1366985129
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1747785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747872000000",
    "number": "1750173019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1817 W ORANGETHORPE AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928334405",
            "telephone_number": "714-515-0922",
            "fax_number": "714-449-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1817 W ORANGETHORPE AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928334405",
            "telephone_number": "714-515-0922",
            "fax_number": "714-449-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EZER & DABBAK MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-21",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A",
        "authorized_official_last_name": "OBLITAS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-515-0922",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EZER MEDICAL CLINIC &MED SPA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EZER MEDICAL CLINIC &MED SPA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Evangeline Everly
• Mayan Ewert
• Exclusive Care International, Inc.
• Stephanie Eyerly
• Kenechukwu Judith Ezeh
• F.a.C.E.S.
• F&N Pharma Inc
• Giselle Ariel Fabian
• Michael Fabricant, M.D.
• Sahar Z Faghih, D.O.

• General Practice Physician in Fullerton, CA
• Providers in Fullerton, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.