MICHAEL P BLUM DDS A PROFESSIONAL CORPORATION


Address: 1211 W La Palma Ave Ste. 604, Anaheim, CA 92801-9280
Phone: 7147722200

MICHAEL P BLUM DDS A PROFESSIONAL CORPORATION (NPI# 1407325392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407325392
Entity Type Organization
Organization Name MICHAEL P BLUM DDS A PROFESSIONAL CORPORATION
Practice Address 1211 W La Palma Ave Ste. 604
Anaheim
CA 92801-9280
Mailing Address 1211 W La Palma Ave Ste 604
Anaheim
CA 92801-2813
Practice Telephone 7147722200
Practice Fax Number 7147726812
Enumeration Date 2018-11-20
Last Update Date 2018-11-20
Authorized Official Name DR. MICHAEL BLUM (DR)
Authorized Official Telephone 7147722200
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
Dental Providers

Office Location

Street Address 1211 W LA PALMA AVE STE. 604
City ANAHEIM
State CA
Zip Code 92801-9280

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1982065447 Giselle Magdaleno Marriage & Family Therapist 505 N Euclid St #300, Anaheim, CA 92801 2016-03-11
1346605433 Esther Chong Nurse Practitioner 710 N. Euclid St., 400, Anaheim, CA 92801 2015-12-16
1629441183 Caremore Health Plan Nurse Practitioner 1182 N. Euclid Street, Anaheim, CA 92801 2015-11-05
1205208451 Uyen Diem Ngo Pharmacist 1188 N. Euclid St., Anaheim, CA 92801 2015-10-28
1962873729 Herb and Acu Acupuncturist 1737 W. Romneya Dr., Anaheim, CA 92801 2015-10-19
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Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518424068 Hjkim Dds, Inc. Dentist 1120 N Brookhurst St, Anaheim, CA 92801-1702 2019-02-20
1104397538 Union Dental Group Anaheim Inc Dentist 434 S Euclid St Ste 100, Anaheim, CA 92802-1247 2018-12-11
1508343476 P Kansagra Dds Inc Dentist 8285 E Santa Ana Canyon Rd Ste 115, Anaheim, CA 92808-2250 2018-07-24
1215307954 Tuan Manh Hoang Dentist 1317 S. Courtright Street, Anaheim, CA 92804 2015-10-06
1740791060 Seok Hwan Son Dds Inc Dentist 40 E Orangethorpe Ave, Anaheim, CA 92801-1206 2017-10-12
1487980819 Hung Le Dentist 408 S Beach Blvd, Suite 107, Anaheim, CA 92804-1853 2009-10-20
1346430279 David Bell Dentist 3460 E La Palma Ave, Anaheim, CA 92806-2020 2007-07-26
1811193105 Martin Sewall Dentist 3010 W Orange Ave, Suite 203, Anaheim, CA 92804-3169 2007-06-22
1568510964 Steven D Darmstadt Dentist 1801 W Romneya Dr, Suite 408, Anaheim, CA 92801-1830 2007-01-08
1003976994 Michael P Blum Dentist 1211 W La Palma Ave, Suite 604, Anaheim, CA 92801-2815 2006-12-11
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Competitor

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City ANAHEIM
Zip Code 92801

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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