HARRY EISENBACH (NPI# 1619597671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619597671 |
Entity Type | Individual |
Full Name | HARRY EISENBACH |
Practice Address |
9312 Smoketree Ln Villa Park CA 92861-1011 |
Practice Telephone | 8052366587 |
Mailing Telephone | 8052366587 |
Enumeration Date | 2020-04-20 |
Last Update Date | 2020-04-20 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
A30600 | CA | Allopathic & Osteopathic Physicians |
Street Address |
9312 SMOKETREE LN |
City | VILLA PARK |
State | CA |
Zip Code | 92861-1011 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528615127 | Jospeh A Ropel | Technician | 9492 Brynmar Dr, Villa Park, CA 92861 | 2019-08-20 |
1982027868 | Junn Yann Chang | General Practice | 9431 Featherhill Dr., Villa Park, CA 92861 | 2014-01-28 |
1679830749 | Arnold Philip Deutsch | Psychiatry & Neurology | 10141 Morning Star Circle, Villa Park, CA 92861 | 2012-04-13 |
1558594994 | Richard Lyle Goldman | Obstetrics & Gynecology | 18892 Patrician Dr., Villa Park, CA 92861 | 2009-09-02 |
1871600395 | James Patrick Furcolow | Optometrist | 17829 Santiago Blvd, Villa Park, CA 92861 | 2006-08-23 |
1649540352 | Elaine R Collins | Marriage & Family Therapist | 17817 Santiago Blvd, Villa Park Medical, Villa Park, CA 92861 | 2012-01-11 |
1154668457 | Warren Harmon Fox | Specialist | 9681 Crestview Cir, Villa Park, CA 92861-1311 | 2013-01-08 |
1053654269 | Kristen Michele Fuller | Student in an Organized Health Care Education/Training Program | 9461 Featherhill Dr, Villa Park, CA 92861-2613 | 2013-04-05 |
1316088529 | Sam Joseph Poidmore | Dentist | 18152 Pamela Pl, Villa Park, CA 92861-2626 | 2007-02-09 |
1124238308 | Kathryn A. Gibbs | Family Medicine | 9811 Ryan Cir, Villa Park, CA 92861-2710 | 2007-05-23 |
Find all providers in zip 92861 |
Taxonomy Code | 207QA0505X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Adult Medicine |
Definition to come. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124238308 | Kathryn A. Gibbs | Family Medicine | 9811 Ryan Cir, Villa Park, CA 92861-2710 | 2007-05-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306446091 | Candace Maglinao | Family Medicine | 21010 Anza Ave Apt 12, Torrance, CA 90503-4254 | 2020-10-30 |
1942826797 | In-home Medical Mobile Services, Inc. | Family Medicine | 3400 E 8th St Ste 202, National City, CA 91950-3169 | 2020-06-17 |
1386269306 | Universal Mobile Doctors Inc | Family Medicine | 15333 Sherman Way Ste P, Van Nuys, CA 91406-4204 | 2020-06-16 |
1669092854 | Wellbeing Clinic Inc | Family Medicine | 1621 S New Hampshire Ave, Los Angeles, CA 90006-4513 | 2020-04-17 |
1619513611 | Krista Mckinney | Family Medicine | 344o E. La Palma Avenue, Anaheim, CA 92806 | 2019-11-25 |
1457995565 | Ucsf Medical Group Business Services | Family Medicine | 1100 Park Pl Ste 100, San Mateo, CA 94403-7119 | 2019-10-31 |
1780237313 | Charles Kim Md Inc | Family Medicine | 3055 W Orange Ave Ste 204, Anaheim, CA 92804-3154 | 2019-07-23 |
1083277206 | Baum 5 Star Healthcare | Family Medicine | 560 W Grangeville Blvd Ste A, Hanford, CA 93230-2858 | 2019-04-15 |
1477025278 | Connexus Family Clinic Inc | Family Medicine | 1930 E. Anaheim Street, N/a, Long Beach, CA 90813-3908 | 2018-12-19 |
1265902928 | Shivangi Amin Md, Inc | Family Medicine | 701 N Alvarado St Fl 1, Los Angeles, CA 90026 | 2018-11-26 |
Find all providers with the same taxonomy |
City | VILLA PARK |
Zip Code | 92861 |
Please comment or provide details below to improve the information on HARRY EISENBACH.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.