Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Mark Wallace Eisner, RKT

Individual provider Community Health Worker · NPI 1407112345

Mr. Mark Wallace Eisner, RKT is a Community Health Worker in Los Angeles, California. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

11301 Wilshire Blvd
Los Angeles, CA 90073-1003
Phone: (310) 478-3711
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X

Record details

NPI number1407112345
Entity typeIndividual (Type 1)
GenderFemale
Credentials RKT
Sole proprietorNo
NPI enumeratedApril 4, 2012
Last updated in NPPESApril 4, 2012

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