Provider Demographics
NPI:1487180261
Name:BYRNE, EILEEN REBECCA (MD)
Entity Type:Individual
Prefix:DR
First Name:EILEEN
Middle Name:REBECCA
Last Name:BYRNE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:8881 FLETCHER PKWY STE 250A
Mailing Address - Street 2:
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91942-3134
Mailing Address - Country:US
Mailing Address - Phone:619-229-2626
Mailing Address - Fax:619-286-5412
Practice Address - Street 1:8881 FLETCHER PKWY STE 250A
Practice Address - Street 2:
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91942-3134
Practice Address - Country:US
Practice Address - Phone:619-229-2626
Practice Address - Fax:619-286-5412
Is Sole Proprietor?:No
Enumeration Date:2017-05-11
Last Update Date:2024-01-16
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Provider Licenses
StateLicense IDTaxonomies
WI23108208800000X
MN71358208800000X
CAA160779208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology