MYRON J. BLOOM MD – NPI #1881608370
Surgery

A surgeon who specializes in plastic and reconstructive surgery.

MYRON BLOOM is a surgeon located in LOS ALAMITOS, CA. NPPES has assigned the NPI number 1881608370 to MYRON BLOOM on July 28, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2086S0122X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Plastic and Reconstructive Surgery

The NPI profile was previously updated about 19 years ago on Jul 08, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MYRON BLOOM below.

NPI Profile for
MYRON J. BLOOM

NPI Number
1881608370
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MYRON J. BLOOM
Credentials
MD
Primary location
3801 KATELLA AVE
SUITE 212
LOS ALAMITOS, CA 90720-3381
Phone: (562) 596-4645 Fax: (562) 596-2225
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for MYRON BLOOM

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCA00G171590
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0122X
- Surgery / Plastic and Reconstructive Surgery (Primary)
CA G17159

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.