Provider Demographics
NPI:1336181965
Name:EILBER, KARYN S (MD)
Entity Type:Individual
Prefix:DR
First Name:KARYN
Middle Name:S
Last Name:EILBER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2020 SANTA MONICA BLVD.
Mailing Address - Street 2:SUITE 570
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90404
Mailing Address - Country:US
Mailing Address - Phone:310-453-2061
Mailing Address - Fax:310-453-2161
Practice Address - Street 1:2020 SANTA MONICA BLVD.
Practice Address - Street 2:SUITE 570
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90404
Practice Address - Country:US
Practice Address - Phone:310-453-2061
Practice Address - Fax:310-453-2161
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-11
Last Update Date:2010-03-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA62451208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWA62451BMedicare UPIN