# PETER S. BIRNBAUM D.O. INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093990665
- **Authorized official:** DR. PETER S BIRNBAUM DO (PRESIDENT)
- **Authorized official phone:** (714) 995-1531

## Contact information

- **Practice address:** 26520 CACTUS AVE, MORENO VALLEY, CA 92555-3927
- **Practice address phone:** (714) 995-1531
- **Practice address fax:** (714) 995-8194
- **Mailing address:** 3010 W ORANGE AVE, SUITE 403, ANAHEIM, CA 92804-3169
- **Mailing address phone:** (714) 995-1531
- **Mailing address fax:** (714) 995-8194

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 20A7133 | CA | Yes |

## Other

- **Enumeration date:** 01/02/2008
- **Last updated:** 01/04/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00AX71330 | — | CA |