Dr. Eghosa Isa
Sports Medicine
795 El Camino Real
Palo Alto
, California 94301-2302
Dr. Eghosa Isa
Sports Medicine
795 El Camino Real
Palo Alto
, California 94301-2302
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About
Features
Specialties
- Sports Medicine
Languages spoken
- English
Location
First Address
- Dr. Eghosa Isa
- 795 El Camino Real
- Palo Alto, CA
- Zip : 94301-2302
- Phone :
Second Address
- Dr. Eghosa Isa
- 795 El Camino Real
- Palo Alto, CA
- Zip : 94301-2302
- Phone : (650) 853-2943
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What type of doctor is Dr. Eghosa Isa
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Is Dr. Eghosa Isa a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2081S0010X | Sports Medicine | E5435 | CA |
| Y | 213ES0000X | Sports Medicine | E5435 | CA |
National Provider Identifier
| NPI | 1093197550 |
|---|---|
| Provider Name | Dr. Eghosa Isa |
| First Address | Palo Alto, CA 94301-2302 |
| Second Address | Palo Alto, CA 94301-2302 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/06/2015 |
| Last Update Date | 17/12/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.