Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | A76892 | CA |
Y | 111NI0900X | Internist | A76892 | CA |
N | 207RI0200X | Infectious Disease | A76892 | CA |
NPI | 1093774168 |
---|---|
Provider Name | Abraham Eskenazi |
First Address | San Diego, CA 92117-6151 |
Second Address | San Diego, CA 92117-6151 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/03/2006 |
Last Update Date | 08/02/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A768920 | (05) | CA |
I23001 | (02) | CA |