Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
HARRY EISENBACH
Active Sole ProprietorHARRY EISENBACH is a Adolescent Medicine healthcare provider located in VILLA PARK, California. NPI 1619597671 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine · VILLA PARK, CA
Registration Details
- NPI Number
- 1619597671
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 20, 2020 (6.3489042301627 yrs)
- Last Updated
- Apr 20, 2020
- License
-
A30600 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9312 SMOKETREE LNVILLA PARK, CA, 928611011Browse CA providers · Browse ZIP 92861
- Phone
- 8052366587
- Primary Specialty
-
Adolescent Medicine
207QA0505X
Other Adolescent Medicine Providers in VILLA PARK, CA
| Name | Credential | NPI |
|---|---|---|
| DR. KATHRYN A. GIBBS | M.D. | 1124238308 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.