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NPI Code Detail

MEDICARE: PERRY EISNER MD

MEDICARE: PERRY EISNER MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology PhysicianG59171CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1861447658
Entity Type Code : Individual
Provider Name (Legal Business Name) : PERRY EISNER MD
Provider Business Mailing Address
First Line : 27401 LOS ALTOS
Second Line : 180
City : MISSION VIEJO
State : CA
Zip : 92691-6316
Country : US
Telephone Number : 949-582-9624
Fax Number : 949-582-9626
Provider Business Practice Location Address
First Line : 27401 LOS ALTOS
Second Line : 180
City : MISSION VIEJO
State : CA
Zip : 92691-6316
Country : US
Telephone Number : 949-582-9624
Fax Number : 949-582-9626
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2006
Last Update Date : 01/25/2008

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Directions to “ PERRY EISNER MD” Practice Location

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