Eisner, Martin Eli
Eisner, Martin Eli is an sole proprietor health care provider with primary practice located at 999 N Tustin Ave Ste 109 , Santa Ana CA 92705-6504. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Eisner, Martin Eli can be contacted via phone (714) 756-4820.Contact Information
Primary practice address
999 N Tustin Ave Ste 109
Santa Ana CA 92705-6504
Phone: (714) 756-4820
Fax: (714) 953-3425
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | G43023 | California |
Profile Details
NPI number | 1770505844 |
---|---|
LBN Legal business name | Eisner, Martin Eli |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 24th, 2006 |
Last updated | Mar 7th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1770505844 | NPPES |
California | MEDICAID | 00G430230 |
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