Mitchell E. Blum MD, FACS, Inc
Mitchell E. Blum MD, FACS, Inc is a Facial Plastic Surgery Physician in Tracy, California. Licensed in California. Registered with an NPI since 2015.
- Licensed in
- CA
- In the registry since
- 2015
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2160 W Grant Line Rd Ste 250Tracy, CA 95377-7330
Phone: (209) 834-0626
Fax: (209) 834-1814
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Facial Plastic Surgery Physician (primary) | Taxonomy 207YS0123X · Licence G25010 (CA) |
|---|
Record details
| NPI number | 1356717854 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mitchell Blum — Ceo · (209) 834-0626 |
| NPI enumerated | August 19, 2015 |
| Last updated in NPPES | September 23, 2015 |
| Mailing address | 2160 W Grant Line Rd, Suite 250, Tracy, CA 95377-7330 |