# LORI B BIRNDORF DO A MEDICAL CORPORATION

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

## Provider details

- **NPI number:** 1578667283
- **Authorized official:** LORI BETH BIRNDORF D.O. (PRESIDENT/OPHTHALMOLOGIST)
- **Authorized official phone:** (310) 621-0878

## Contact information

- **Practice address:** 425 W BONITA AVE STE 110, SAN DIMAS, CA 91773-2543
- **Practice address phone:** (909) 599-0981
- **Practice address fax:** (909) 592-0738
- **Mailing address:** 9643 SHOUP AVE, CHATSWORTH, CA 91311-4720
- **Mailing address phone:** (310) 621-0878
- **Mailing address fax:** (818) 763-2331

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 20A6178 | CA | Yes |

## Other

- **Enumeration date:** 09/12/2006
- **Last updated:** 03/22/2018