Individual
JAMIE EISENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048-1804
(310) 423-0387
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513
(818) 746-4081
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95000760
CA
367500000X
Certified Registered Nurse Anesthetist
NR10334800
NJ
367500000X
Certified Registered Nurse Anesthetist
RN347949L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010007367
AMERICHOICE
NJ
Enumeration date
12/07/2005
Last updated
07/12/2021
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