Individual
DR. LARRY EISENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18372 CLARK ST, #216, TARZANA, CA 91356
(818) 705-8559
(818) 705-6475
Mailing address
18372 CLARK ST, #216, TARZANA, CA 91356
(818) 705-8559
(818) 705-6475
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
G47433
CA
Other
Enumeration date
07/24/2006
Last updated
07/08/2007
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