# BIRCH MEDICAL GROUP

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

## Provider details

- **NPI number:** 1962692533
- **Authorized official:** HUU NGUYEN PHAM M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (949) 955-1213

## Contact information

- **Practice address:** 4463 BIRCH ST, NEWPORT BEACH, CA 92660-1911
- **Practice address phone:** (949) 955-1213
- **Mailing address:** 3 VIA BURRONE, NEWPORT BEACH, CA 92657-1407

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2082S0105X | Surgery of the Hand (Plastic Surgery) Physician | G512851 | CA | Yes |

## Other

- **Enumeration date:** 07/30/2007
- **Last updated:** 03/07/2023
