Individual
DR. ORVAL MYRON ESHELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14981 NATIONAL AVE, STE 3, LOS GATOS, CA 95032-2600
(408) 358-1256
(408) 358-1826
Mailing address
14981 NATIONAL AVE, STE 3, LOS GATOS, CA 95032-2600
(408) 358-1256
(408) 358-1826
Taxonomy
Speciality
Code
Description
License number
State
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
Primary
A20441
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004643
HEALTH NET
CA
01
—
00A204410
MEDICARE ID
CA
01
—
010061395
RAILROAD MEDICARE
CA
01
—
770494064
TRICARE
CA
01
—
A20441
STATE LICENSE
CA
Enumeration date
05/24/2005
Last updated
03/24/2009
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