Healthcare Provider Details

I. General information

NPI: 1558610840
Provider Name (Legal Business Name): ELISE ESCHEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2012
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1848 SARATOGA AVE BLDG 5A
SARATOGA CA
95070-6613
US

IV. Provider business mailing address

1848 SARATOGA AVE BLDG 5A
SARATOGA CA
95070-6613
US

V. Phone/Fax

Practice location:
  • Phone: 408-354-5588
  • Fax: 408-757-0918
Mailing address:
  • Phone: 408-354-5588
  • Fax: 408-757-0918

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: