Provider Demographics
NPI:1811956469
Name:EICHEL, JAMES EDWARD (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:EDWARD
Last Name:EICHEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:11875 DUBLIN BLVD
Mailing Address - Street 2:SUITE C 140
Mailing Address - City:DUBLIN
Mailing Address - State:CA
Mailing Address - Zip Code:94568-2843
Mailing Address - Country:US
Mailing Address - Phone:925-587-2505
Mailing Address - Fax:925-587-2511
Practice Address - Street 1:2915 TELEGRAPH AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94705-2060
Practice Address - Country:US
Practice Address - Phone:510-843-4544
Practice Address - Fax:510-843-9871
Is Sole Proprietor?:No
Enumeration Date:2006-03-22
Last Update Date:2024-04-29
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Provider Licenses
StateLicense IDTaxonomies
CAG74264207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G742640OtherMEDICARE
CA00G742640OtherMEDICARE
CAZZZ06346ZMedicare PIN
CA00G742640Medicare PIN