Organization
PETER S BIRNBAUM DO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER S BIRNBAUM DO (PHYSICIAN)
(714) 491-3670
Entity
Organization
Contact information
Practice address
1211 W LA PALMA AVE STE 506, ANAHEIM, CA 92801-2812
(714) 491-3670
(714) 533-6760
Mailing address
1211 W LA PALMA AVE STE 506, ANAHEIM, CA 92801-2812
(714) 491-3670
(714) 533-6760
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX71330
—
CA
Enumeration date
10/16/2006
Last updated
02/21/2020
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