BIRCH MEDICAL GROUP
Surgery Yellow Pages
Newport Beach, California
Provider NPI: 1962692533
Organization Information:Organization Name: BIRCH MEDICAL GROUP
Practice Location:
4463 BIRCH ST NEWPORT BEACH, CA 92660 US
Tel: 949-955-1213 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
4463 BIRCH ST NEWPORT BEACH, CA 92660 US
Tel: 949-955-1213 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 2082S0105X | Physicians Plastic Surgery Surgery of the Hand | CA | G512851 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
DEA | AP2369026 | CA | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin