Individual
DR. EDWIN E BREITENBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2601 AUGUSTA, TUSTIN, CA 92782-1201
(714) 730-0087
Mailing address
2601 AUGUSTA, TUSTIN, CA 92782-1201
(714) 730-0087
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
GFE16157
CA
Other
Enumeration date
07/01/2010
Last updated
07/01/2010
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