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Individual

STEVEN G EISENBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
16918 DOVE CANYON RD STE 103, SAN DIEGO, CA 92127-3455
(588) 649-5100
Mailing address
PO BOX 25100, FRESNO, CA 93729-5100
(559) 326-1222
(559) 326-1230

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
20A8293
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00AX82930
CA
01
D7061958
MEDICAL LICENSE
CA
Enumeration date
02/10/2006
Last updated
01/27/2020
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