Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YP0228X | Pediatric Otolaryngology | G031963 | CA |
NPI | 1043278062 |
---|---|
Provider Name | Dr. Jeffrey W. Birns |
First Address | Tarzana, CA 91356-2806 |
Second Address | Tarzana, CA 91356-2806 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2006 |
Last Update Date | 13/01/2016 |