| Lee Brett Eisan M.d. Inc | |
|
907 San Ramon Valley Blvd #102 Danville CA 94526-4036 | |
| (925) 837-7409 | |
| (925) 837-5821 |
| Full Name | Lee Brett Eisan M.d. Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 907 San Ramon Valley Blvd, Danville, California |
| Authorized Official Name and Position | Lee Brett Eisan (PRESIDENT) |
| Authorized Official Contact | 9258377409 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lee Brett Eisan M.d. Inc 907 San Ramon Valley Blvd #102 Danville CA 94526-4036 Ph: (925) 837-7409 | Lee Brett Eisan M.d. Inc 907 San Ramon Valley Blvd #102 Danville CA 94526-4036 Ph: (925) 837-7409 |
| NPI Number | 1891093670 |
|---|---|
| Provider Enumeration Date | 03/03/2011 |
| Last Update Date | 03/03/2011 |
| Medicare PECOS PAC ID | 7416139910 |
|---|---|
| Medicare Enrollment ID | O20110304000164 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891093670 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G37664 (California) | Primary |
| Provider Name | Lee B Eisan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871674333 PECOS PAC ID: 8325220825 Enrollment ID: I20110304000222 |
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