Search › California › 207Y00000X
Mitchell Blum, M.D
NPI 1770586448 · on the registry since 2005 · sole proprietor
Practice
- Address
- 2160 W. Grantline Rd
Suite 250
Tracy, CA 95377 - Phone
- (209) 834-0626
- Fax
- (209) 834-1814
- Organisation at this address
- David A Edelsohn Md Inc A Professional Corporation
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 207Y00000X
207Y00000X
- Also registered as
- 207YS0123X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-04-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California