Organization Active NPI

Irwin L. Bliss M.D. a Professional Corp.

  • Orthopaedic Trauma Physician
  • Los Angeles, CA
National Provider Identifier
1639482813
Registry record updated Jul 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Trauma PhysicianTaxonomy code 207XX0801X
Legal business name
IRWIN L. BLISS M.D. A PROFESSIONAL CORP.
Practice address
2080 Century Park East
Suite 1500
Los Angeles, CA 90067-2018
Phone
(310) 553-2882
Fax
(323) 879-2088
NPI assigned
Jul 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Irwin Lionel Bliss, M.D.
Title
Owner
Phone
(310) 553-2882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Trauma PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XX0801X Primary

Addresses

Primary practice location

2080 Century Park East
Suite 1500
Los Angeles, CA 90067-2018

Mailing address

2080 Century Park East
Suite 1500
Los Angeles, CA 90067-2018
Phone (310) 553-2882

Other identifiers 1

IdentifierTypeStateIssuer
G14675OtherCAMEDICARE

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1279238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279238400000",
    "number": "1639482813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK EAST",
            "address_2": "SUITE 1500",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672018",
            "telephone_number": "310-553-2882",
            "fax_number": "323-879-2088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK EAST",
            "address_2": "SUITE 1500",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672018",
            "telephone_number": "310-553-2882",
            "fax_number": "323-879-2088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRWIN L. BLISS M.D. A PROFESSIONAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-16",
        "last_updated": "2010-07-16",
        "status": "A",
        "authorized_official_last_name": "BLISS",
        "authorized_official_first_name": "IRWIN",
        "authorized_official_middle_name": "LIONEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-553-2882",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XX0801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "G14675",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.