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
Fax: (714) 953-3425
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770505844 NPPES
California MEDICAID 00G430230

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