Healthcare Provider Details

I. General information

NPI: 1497959332
Provider Name (Legal Business Name): NICOLAS GABRIEL BIRO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/13/2007
Last Update Date: 05/20/2024
Certification Date: 05/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1135 S SUNSET AVE STE 210
WEST COVINA CA
91790-3938
US

IV. Provider business mailing address

13311 GALEWOOD ST
SHERMAN OAKS CA
91423-4907
US

V. Phone/Fax

Practice location:
  • Phone: 626-653-9395
  • Fax: 909-206-1097
Mailing address:
  • Phone: 917-348-1060
  • Fax: 909-206-1097

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number247912
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207WX0200X
TaxonomyOphthalmic Plastic and Reconstructive Surgery Physician
License Number247912
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code207WX0200X
TaxonomyOphthalmic Plastic and Reconstructive Surgery Physician
License NumberC172433
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: