Arlene J Eisenberg, MD
Individual provider Active NPI Specialist · Ojai, CA
NPI 1790779742 · NPPES record last updated Oct 9, 2014
Key facts
- NPI
- 1790779742
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- G40809 (CA)
- Practice address
- 1074 S la Luna Ave
Ojai, CA 93023-3516 - Phone
- (805) 640-9744
- Fax
- (805) 640-9757
- NPI assigned
- Sep 6, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G40809 | CA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arlene J. Eisenberg | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | G40809 | CA | Yes |
Addresses
Primary practice location
1074 S la Luna Ave
Ojai, CA 93023-3516
Mailing address
1074 S la Luna Ave
Ojai, CA 93023-3516
Phone (805) 640-9744
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G408090 | Medicaid | CA |
Other providers in Ojai, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.