Provider Demographics
NPI:1225060072
Name:BIRZGALIS, ERIK P (MD)
Entity Type:Individual
Prefix:MR
First Name:ERIK
Middle Name:P
Last Name:BIRZGALIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7701 GREENRIDGE WAY
Mailing Address - Street 2:
Mailing Address - City:FAIR OAKSS
Mailing Address - State:CA
Mailing Address - Zip Code:95628
Mailing Address - Country:US
Mailing Address - Phone:916-863-6356
Mailing Address - Fax:
Practice Address - Street 1:MATHER VA HOSPITAL
Practice Address - Street 2:10535 HOSPITAL WAY
Practice Address - City:MATHER
Practice Address - State:CA
Practice Address - Zip Code:95670
Practice Address - Country:US
Practice Address - Phone:916-366-5316
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC29954208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology