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General NPI Number Information
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NPI Number | 1497959332
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Entity Type | Individual
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Provider Name | NICOLAS GABRIEL BIRO MD
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Gender | Male
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Dates
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Enumeration Date | 06/13/2007
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Last Update Date | 05/20/2024
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Provider Practice Location Address
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Address Line | 1135 S SUNSET AVE STE 210
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City | WEST COVINA
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State | CA
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Zip | 91790-3938
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Country | US
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Telephone | 626-653-9395
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Fax | 909-206-1097
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Provider Business Mailing Address
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Address Line | 13311 GALEWOOD ST
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City | SHERMAN OAKS
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State | CA
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Zip | 91423-4907
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Country | US
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Telephone | 917-348-1060
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Fax | 909-206-1097
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 247912
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207WX0200X
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Taxonomy Name | Ophthalmic Plastic and Reconstructive Surgery Physician
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License Number | 247912
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207WX0200X
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Taxonomy Name | Ophthalmic Plastic and Reconstructive Surgery Physician
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License Number | C172433
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License Number State | CA
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