Healthcare Provider Details

I. General information

NPI: 1811956469
Provider Name (Legal Business Name): JAMES EDWARD EICHEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2006
Last Update Date: 04/29/2024
Certification Date: 04/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2915 TELEGRAPH AVE SUITE 101
BERKELEY CA
94705-2060
US

IV. Provider business mailing address

11875 DUBLIN BLVD SUITE C 140
DUBLIN CA
94568-2843
US

V. Phone/Fax

Practice location:
  • Phone: 510-843-4544
  • Fax: 510-843-9871
Mailing address:
  • Phone: 925-587-2505
  • Fax: 925-587-2511

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberG74264
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: