Individual
ERIC S CARLISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16237 VENTURA BLVD, ENCINO, CA 91436-2201
(818) 995-5350
(818) 995-5032
Mailing address
PO BOX 60039, ARCADIA, CA 91066-6039
(626) 447-0296
(626) 447-6057
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A90140
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A901400
—
CA
Enumeration date
04/26/2006
Last updated
06/13/2008
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