Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 5846T | CA |
NPI | 1295823565 |
---|---|
Provider Name | Dr. Richard Samuel Eisenberg |
First Address | Woodland Hills, CA 91364-1864 |
Second Address | Woodland Hills, CA 91364-1864 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2006 |
Last Update Date | 31/07/2014 |