Dr. Michael P Blum
Oral and Maxillofacial Surgeon
1211 W La Palma Ave Suite 604
Anaheim
, California 92801-2815
Dr. Michael P Blum
Oral and Maxillofacial Surgeon
1211 W La Palma Ave Suite 604
Anaheim
, California 92801-2815
(714) 520-0969
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Michael P Blum
- 1211 W La Palma Ave Suite 604
- Anaheim, CA
- Zip : 92801-2815
- Fax : (714) 520-0969
- Phone : (714) 772-2200
Second Address
- Dr. Michael P Blum
- 1211 W La Palma Ave Suite 604
- Anaheim, CA
- Zip : 92801-2815
- Fax : (714) 520-0969
- Phone : (714) 772-2200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | D25236 | CA |
National Provider Identifier
| NPI | 1003976994 |
|---|---|
| Provider Name | Dr. Michael P Blum |
| First Address | Anaheim, CA 92801-2815 |
| Second Address | Anaheim, CA 92801-2815 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/12/2006 |
| Last Update Date | 21/11/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.