Individual
JEFFREY RYAN BIRNBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4650 SUNSET BLVD, MAIL STOP 113, LOS ANGELES, CA 90027-6062
(323) 361-2109
Mailing address
4650 SUNSET BLVD, MAIL STOP 113, LOS ANGELES, CA 90027-6062
(323) 361-2109
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
56537
TN
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
A167988
CA
Other
Enumeration date
04/10/2014
Last updated
06/06/2020
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