Elyse R. Eisenberg, Md, Inc. | |
725 Farmers Ln Ste 10 Santa Rosa CA 95405-6710 | |
(707) 523-3375 | |
(866) 870-0815 |
Full Name | Elyse R. Eisenberg, Md, Inc. |
---|---|
Speciality | Clinic/center |
Location | 725 Farmers Ln, Santa Rosa, California |
Authorized Official Name and Position | Elyse Rae Eisenberg (PRESIDENT) |
Authorized Official Contact | 7075233375 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Elyse R. Eisenberg, Md, Inc. 2685 Leslie Rd Santa Rosa CA 95404-9607 Ph: (707) 477-6617 | Elyse R. Eisenberg, Md, Inc. 725 Farmers Ln Ste 10 Santa Rosa CA 95405-6710 Ph: (707) 523-3375 |
NPI Number | 1003225061 |
---|---|
Provider Enumeration Date | 08/04/2014 |
Last Update Date | 08/04/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003225061 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | G64542 (California) | Primary |
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