Organization
BRIAN J. EICHENBERG, M.D., A PROFESSIONAL CORPORATION
Active
Other names
Renuance Cosmetic Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN JEFFREY EICHENBERG M.D. (PRESIDENT)
(951) 506-1040
Entity
Organization
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
208200000X
Plastic Surgery Physician
Primary
A55426
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A554260
—
CA
Enumeration date
03/12/2008
Last updated
06/01/2023
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