Lori B Birndorf DO a Medical Corporation

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

20A6178 Issued in CA

Legal business name

LORI B BIRNDORF DO A MEDICAL CORPORATION

Practice address

425 W Bonita Ave Ste 110
San Dimas, CA 91773-2543

Phone

(909) 599-0981

Fax

(909) 592-0738

NPI assigned

Sep 12, 2006

Last updated

Mar 22, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lori Beth Birndorf, D.O.

Title

President/Ophthalmologist

Phone

(310) 621-0878

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521676800000",
    "number": "1578667283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9643 SHOUP AVE",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913114720",
            "telephone_number": "310-621-0878",
            "fax_number": "818-763-2331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 W BONITA AVE STE 110",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917732543",
            "telephone_number": "909-599-0981",
            "fax_number": "909-592-0738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORI B BIRNDORF DO A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2018-03-22",
        "status": "A",
        "authorized_official_last_name": "BIRNDORF",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "PRESIDENT/OPHTHALMOLOGIST",
        "authorized_official_telephone_number": "310-621-0878",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "20A6178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX61780",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "P00106907",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX61781",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Elizabeth Lopez
• Florentina Lopez
• Jacob Lopez
• Jasmin Lopez
• Vanessa Lopez
• Los Angeles County Department of Mental Health (Camp Rockey)
• John Y Low, M.D.
• Kandyce Low, PHARM.D
• Jessie Rose Lowell, PSYD
• Christina McPhail Lucero

• Ophthalmology Physician in San Dimas, CA
• Providers in San Dimas, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.