Provider Demographics
NPI:1396812335
Name:JANISZEWSKI, EVA MONICA (MD)
Entity type:Individual
Prefix:DR
First Name:EVA
Middle Name:MONICA
Last Name:JANISZEWSKI
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:26302 LA PAZ RD STE 214
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691-5328
Mailing Address - Country:US
Mailing Address - Phone:949-458-2992
Mailing Address - Fax:949-458-9992
Practice Address - Street 1:26302 LA PAZ RD STE 214
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-5328
Practice Address - Country:US
Practice Address - Phone:949-458-2992
Practice Address - Fax:949-458-9992
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2025-05-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA62360208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWA62360CMedicare PIN
H78637Medicare UPIN