Individual provider · Type 1 NPI
Myron J. Bloom, MD
Plastic and Reconstructive Surgery Physician · Los Alamitos, CA
NPI number
1881608370
Active
Practice location
3801 Katella Ave, Suite 212
Los Alamitos, CA 90720-3381
Fax (562) 596-2225
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | G17159 (CA) |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
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About NPI 1881608370
Myron J. Bloom, MD's National Provider Identifier is 1881608370, issued on Jul 28, 2006. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Los Alamitos, CA. The record was last updated on Jul 8, 2007.