Mitchell Edward Blum in Oakland - Facial Plastic Surgery
Mitchell Edward Blum - NPI 1770586448
Mitchell Edward Blum is a Facial Plastic Surgery in Oakland, California. Mitchell Edward Blum practices all healthcare services and medical treatments related to Facial Plastic Surgery. The NPI Number for Mitchell Edward Blum is 1770586448. The last update date is 2015-04-30.
Mitchell Edward Blum's current location address is 15 Oval Rd, Oakland, California. You can contact this provider via phone number 2098340626 and fax number 5108174235. The mailing address for Mitchell Edward Blum is 15 Oval Rd, Oakland, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mitchell Edward Blum |
|---|---|
| Address | 15 Oval Rd, Oakland, California |
| Phone Number | 2098340626 |
| Fax Number | 5108174235 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1770586448 |
|---|---|
| Provider Enumeration Date | 2005-05-24 |
| Last Updated Date | 2015-04-30 |
Provider Mailing Address Detail
| Address | 15 Oval Rd |
|---|---|
| City | Oakland |
| State | California (CA) |
| Post Code | 946110 |
| Phone Number | 2098340626 |
| Fax Number | 5108174235 |
Provider's Primary Taxonomy Detail
| Speciality | Facial Plastic Surgery |
|---|---|
| Taxonomy | 207Ys0123X |
| Licence No | G25010 |
|
Definition: An otolaryngologist who specializes in facial plastic surgery. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00G250100 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Mitchell Edward Blum by the Centers for Medicare & Medicaid Services?
The Mitchell Edward Blum has been assigned the NPI (National Provider Identifier) 1770586448 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Mitchell Edward Blum's physical address?
The Mitchell Edward Blum is physically located at 15 Oval Rd, in the city of Oakland, CA, with the postal code 946110.
What is the Mitchell Edward Blum's area of specialization and corresponding taxonomy classification?
The Mitchell Edward Blum's specialty field is Facial Plastic Surgery, and it falls under the taxonomy code 207Ys0123X, which categorizes healthcare providers based on their specialties.
When did Mitchell Edward Blum receive its 1770586448 assignment?
The Mitchell Edward Blum was assigned its 1770586448 on 2005-05-24, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Mitchell Edward Blum most recently updated or revised?
The information pertaining to Mitchell Edward Blum, including its address, specialty, and other relevant details, was last updated or revised on 2015-04-30.