Healthcare Provider Details

I. General information

NPI: 1063776516
Provider Name (Legal Business Name): JOSEPH ALEXANDER EISNER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2012
Last Update Date: 09/09/2025
Certification Date: 09/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 N ROSE AVE STE 430
OXNARD CA
93030-7657
US

IV. Provider business mailing address

1700 N ROSE AVE STE 430
OXNARD CA
93030-7657
US

V. Phone/Fax

Practice location:
  • Phone: 805-485-8722
  • Fax:
Mailing address:
  • Phone: 714-496-4513
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberA128860
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: