Individual
BRIAN JEFFREY EICHENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
24687 MONROE AVE, MURRIETA, CA 92562-9591
(951) 506-1040
(951) 506-1044
Mailing address
24687 MONROE AVE, MURRIETA, CA 92562-9591
(951) 506-1040
(951) 506-1044
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
A055426
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A554260
—
CA
Enumeration date
05/09/2007
Last updated
03/12/2008
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