NPI Information

  • NPI: 1477336543
  • Provider Name: EISNER
  • Classification: Student in an Organized Health Care Education/Training Program - 390200000X
  • Entity Type: Organization
  • CLIA Number: 05D2309634
  • Address: 1500 S OLIVE ST
    LOS ANGELES, CA
    ZIP 90015
  • Phone: (213) 747-5542

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NPI Details

EISNER is a student in an organized health care education training program in Los Angeles, CA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. EISNER NPI is 1477336543. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1500 S OLIVE ST
LOS ANGELES, CA
ZIP 90015-023
Phone: (213) 747-5542

The provider's authorized official is Rosaura Ruiz .
The authorized official title is Behavioral Health Coordinator and has the following contact phone number (213) 747-5542.

The CLIA number assigned to this NPI record is 05D2309634 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/14/2023 and was last updated on 8/14/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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