Provider Demographics
NPI:1316653587
Name:BIROWSKI, WILLIAM EDWARD
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:EDWARD
Last Name:BIROWSKI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:MOON
Other - Middle Name:EAWARD
Other - Last Name:BIROWSKI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:8833 MISSION VEGA CT UNIT 2
Mailing Address - Street 2:
Mailing Address - City:SANTEE
Mailing Address - State:CA
Mailing Address - Zip Code:92071-4279
Mailing Address - Country:US
Mailing Address - Phone:619-957-4981
Mailing Address - Fax:
Practice Address - Street 1:1400 N JOHNSON AVE STE 101
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92020-1651
Practice Address - Country:US
Practice Address - Phone:619-442-0277
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-30
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty