# PETER M BIRNSTEIN MD PROF CORP FAMILY PRACTICE ASSOC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PETER M BIRNSTEIN MD PROF FAMILY PRACTICE ASSOC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871002618
- **Authorized official:** DR. PETER M BIRNSTEIN MD (PRESIDENT)
- **Authorized official phone:** (310) 394-2695

## Contact information

- **Practice address:** 2811 WILSHIRE BLVD STE 800, SANTA MONICA, CA 90403-4808
- **Practice address phone:** (310) 453-6361
- **Practice address fax:** (310) 393-0245
- **Mailing address:** 2811 WILSHIRE BLVD STE 800, SANTA MONICA, CA 90403-4808
- **Mailing address phone:** (310) 453-6361
- **Mailing address fax:** (310) 393-0245

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | G22732 | CA | Yes |
| 207R00000X | Internal Medicine Physician | G22732 | CA | — |

## Other

- **Enumeration date:** 09/25/2017
- **Last updated:** 07/21/2022