Organization
PETER S. BIRNBAUM D.O. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER S BIRNBAUM DO (PRESIDENT)
(714) 995-1531
Entity
Organization
Contact information
Practice address
26520 CACTUS AVE, MORENO VALLEY, CA 92555-3927
(714) 995-1531
(714) 995-8194
Mailing address
3010 W ORANGE AVE, SUITE 403, ANAHEIM, CA 92804-3169
(714) 995-1531
(714) 995-8194
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
20A7133
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX71330
—
CA
Enumeration date
01/02/2008
Last updated
01/04/2008
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