Organization
IRWIN L. BLISS M.D. A PROFESSIONAL CORP.
Active
Organization
IRWIN L. BLISS M.D. A PROFESSIONAL CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRWIN LIONEL BLISS M.D. (OWNER)
(310) 553-2882
Entity
Organization
Contact information
Practice address
2080 CENTURY PARK EAST, SUITE 1500, LOS ANGELES, CA 90067-2018
(310) 553-2882
(323) 879-2088
Mailing address
2080 CENTURY PARK EAST, SUITE 1500, LOS ANGELES, CA 90067-2018
(310) 553-2882
(323) 879-2088
Taxonomy
Speciality
Code
Description
License number
State
207XX0801X
Orthopaedic Trauma Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G14675
MEDICARE
CA
Enumeration date
07/16/2010
Last updated
07/16/2010
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