Doctor Name: | BRIAN JEFFREY EICHENBERG |
NPI Number: | 1033323118 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | A055426 |
Business Practice Address: | 24687 Monroe Ave Murrieta, CA - 925629591 |
Business Phone Number: | 9515061040 |
Business Fax Number: | 9515061044 |
Mailing Address: | 24687 Monroe Ave, MURRIETA |
State: | CA |
Postal Code: | 925629591 |
Phone Number: | 9515061040 |
Fax Number: | 9515061044 |
NPI Enumeration Date: | 05/09/2007 |
NPI Last Update Date: | 03/12/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0122X |
License Number: | A055426 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Plastic and Reconstructive Surgery |
Taxonomy Definition: | A surgeon who specializes in plastic and reconstructive surgery. |