Individual
EMILY EISENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1411 E 31ST ST, OAKLAND, CA 94602-1092
(510) 437-4800
Mailing address
5217 JESSEN DR, LA CANADA, CA 91011-1332
(818) 489-8971
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA55692
CA
Other
Enumeration date
08/01/2018
Last updated
08/01/2018
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