Healthcare Provider Details

I. General information

NPI: 1154584183
Provider Name (Legal Business Name): EIRINY TADROS ESKANDER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EIRINY M. TADROS M.D.

II. Dates (important events)

Enumeration Date: 07/09/2008
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16311 VENTURA BLVD STE 850
ENCINO CA
91436-1212
US

IV. Provider business mailing address

16311 VENTURA BLVD STE 850
ENCINO CA
91436-1212
US

V. Phone/Fax

Practice location:
  • Phone: 818-918-2008
  • Fax: 818-483-4854
Mailing address:
  • Phone: 818-918-2008
  • Fax: 818-483-4854

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberN8464
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberBP10031196
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA120988
License Number StateCA
# 4
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberA120988
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: