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Contact Information

EBONIE VINCENT, DPM
16405 SAND CANYON AVE STE 270
IRVINE, CA92618
 Phone: 949-651-1202
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for EBONIE VINCENT · (Female)

NPI # 1457738676
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 04/27/2015
Last updated 06/06/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • CA License # E5414
  • NJ License # 213E00000X
Hospital affiliation(s)
  • HOAG MEMORIAL HOSPITAL PRESBYTERIAN - (Acute Care)
    ONE HOAG DRIVE
    NEWPORT BEACH, CA 92663
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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