Provider Demographics
NPI:1700289709
Name:EILBERT MEDICAL CORPORATION
Entity Type:Organization
Organization Name:EILBERT MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:EILBERT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-388-3131
Mailing Address - Street 1:125 COLUMBIA STE A
Mailing Address - Street 2:
Mailing Address - City:ALISO VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92656-4157
Mailing Address - Country:US
Mailing Address - Phone:949-388-3131
Mailing Address - Fax:949-429-0623
Practice Address - Street 1:125 COLUMBIA STE A
Practice Address - Street 2:
Practice Address - City:ALISO VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92656-4157
Practice Address - Country:US
Practice Address - Phone:949-388-3131
Practice Address - Fax:949-429-0623
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-03
Last Update Date:2014-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SH1100XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistHolisticGroup - Single Specialty