NPI 1043382666 · live from the CMS NPI Registry
Tina Abolhassani Bloomer, NP
Nurse Practitioner, Obstetrics & Gynecology in Orange, CA. National Provider Identifier 1043382666, active.
NPI record
| NPI | 1043382666 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Obstetrics & Gynecology 363LX0001X |
| Practice location | 4010 E Chapman Ave, Suite C, Orange, CA 92869 |
| Practice phone | 714-500-0358 |
| Mailing address | 19171 Jasper Hill Rd, Trabuco Canyon, CA 92679 |
| Enumerated | November 15, 2006 |
| Last updated | May 8, 2012 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Women's Health | 363LW0102X | RN 486773 (CA) |
| Nurse Practitioner, Obstetrics & Gynecology primary | 363LX0001X | NP 10584 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.