Provider Demographics
NPI:1447559216
Name:HIRSCH, BRANDON PAUL (MD, INC)
Entity type:Individual
Prefix:
First Name:BRANDON
Middle Name:PAUL
Last Name:HIRSCH
Suffix:
Gender:M
Credentials:MD, INC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3501 JAMBOREE RD STE 1250
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-2959
Mailing Address - Country:US
Mailing Address - Phone:949-781-4704
Mailing Address - Fax:949-781-4705
Practice Address - Street 1:3501 JAMBOREE RD STE 1250
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-2959
Practice Address - Country:US
Practice Address - Phone:949-781-4704
Practice Address - Fax:989-781-4705
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-19
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ56425207XS0117X
CA159188207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine