Individual
DR. ELYSE RAE EISENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
725 FARMERS LN, STE 10, SANTA ROSA, CA 95405-6710
(707) 523-3375
(866) 870-0815
Mailing address
6114 LA SALLE AVE, 438, OAKLAND, CA 94611-2802
(707) 523-3375
(866) 870-0815
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
G64542
CA
208D00000X
General Practice Physician
G64542
CA
Other
Enumeration date
07/18/2006
Last updated
03/10/2025
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