| Organization Name: | JAMES EISENBERG MD INC |
| NPI Number: | 1932358983 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMES W EISENBERG (OWNER/PRESIDENT) |
| Mailing Address: | 2636 N Blackstone Ave Fresno |
| State: | CA US |
| Postal Code: | 937031704 |
| Phone Number: | 5592256002 |
| Fax Number: | 5592257116 |
| NPI Enumeration Date: | 09/15/2008 |
| NPI Last Update Date: | 09/15/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | G23834 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |