Individual
IAN EISENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 EL CAMINO REAL, ATHERTON, CA 94027-4300
(716) 228-8974
Mailing address
90 E 3RD ST UNIT 309, MORGAN HILL, CA 95037-3549
(716) 228-8974
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
2000037817
NY
Other
Enumeration date
08/22/2025
Last updated
08/22/2025
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