Provider Demographics
NPI:1558564740
Name:JULIAN E. GIROD, M.D., INC
Entity Type:Organization
Organization Name:JULIAN E. GIROD, M.D., INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JULIAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:GIROD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-643-0821
Mailing Address - Street 1:5230 PACIFIC CONCOURSE DR
Mailing Address - Street 2:SUITE 110
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90045-6200
Mailing Address - Country:US
Mailing Address - Phone:310-643-0821
Mailing Address - Fax:310-643-7546
Practice Address - Street 1:5230 PACIFIC CONCOURSE DR
Practice Address - Street 2:SUITE 110
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90045-6200
Practice Address - Country:US
Practice Address - Phone:310-643-0821
Practice Address - Fax:310-643-7546
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-06
Last Update Date:2007-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
W18512Medicare ID - Type Unspecified
G64596Medicare UPIN