Healthcare Provider Details

I. General information

NPI: 1861801359
Provider Name (Legal Business Name): JOELLE SARAH BIRNBERG M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/08/2014
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3446 LONGRIDGE AVE
SHERMAN OAKS CA
91423-4914
US

IV. Provider business mailing address

3446 LONGRIDGE AVE
SHERMAN OAKS CA
91423-4914
US

V. Phone/Fax

Practice location:
  • Phone: 818-645-3834
  • Fax:
Mailing address:
  • Phone: 818-645-3834
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA138930
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: