Individual
DR. BURTON L. EISENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1441 EASTLAKE AVE, LOS ANGELES, CA 90089-0112
(323) 865-3535
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 865-3535
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
12057
NH
2086X0206X
Surgical Oncology Physician
12057
NH
2086X0206X
Surgical Oncology Physician
Primary
C129126
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30203816
—
NH
Enumeration date
11/08/2006
Last updated
08/11/2015
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