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NPI Profile for Dr EDWIN E BREITENBACH in TUSTIN, CA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Facial Plastic Surgery |
207YS0123X | 04 | Physician/Otolaryngology |
| NPI Number | 1871804187 |
|
| Status | Active | |
| Credentials | MD | |
| Entity | Individual | |
| Enumeration date | 07/01/2010 | |
| Last updated | 07/01/2010 - About 16 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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EDWIN E BREITENBACH
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EDWIN E BREITENBACH, MD