Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MYRON J BLOOM, MD
ActiveDR. MYRON J BLOOM, MD is a Plastic and Reconstructive Surgery healthcare provider located in LOS ALAMITOS, California. NPI 1881608370 is currently active in the NPPES registry. Verify at CMS.
Plastic and Reconstructive Surgery · LOS ALAMITOS, CA
Registration Details
- NPI Number
- 1881608370
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 28, 2006 (20.056467965798 yrs)
- Last Updated
- Jul 8, 2007
- License
-
G17159 (CA)
Practice Information
- Address
-
3801 KATELLA AVESUITE 212LOS ALAMITOS, CA, 907203381Browse CA providers · Browse ZIP 90720
- Phone
- 5625964645
- Fax
- 5625962225
- Primary Specialty
-
Plastic and Reconstructive Surgery
2086S0122X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.