Organization
LORI B BIRNDORF DO A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI BETH BIRNDORF D.O. (PRESIDENT/OPHTHALMOLOGIST)
(310) 621-0878
Entity
Organization
Contact information
Practice address
425 W BONITA AVE STE 110, SAN DIMAS, CA 91773-2543
(909) 599-0981
(909) 592-0738
Mailing address
9643 SHOUP AVE, CHATSWORTH, CA 91311-4720
(310) 621-0878
(818) 763-2331
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
20A6178
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX61780
—
CA
05
—
00AX61781
—
CA
01
—
P00106907
PALMETTO GBA
CA
Enumeration date
09/12/2006
Last updated
03/22/2018
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