Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | A116158 | CA |
NPI | 1003174061 |
---|---|
Provider Name | Dr. Eisha Anne Christian |
First Address | Los Angeles, CA 90089-1001 |
Second Address | Los Angeles, CA 90089-1001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2012 |
Last Update Date | 03/12/2021 |