Provider Demographics
NPI:1871872986
Name:SLOBOGEAN, MYRON GP (MD)
Entity type:Individual
Prefix:DR
First Name:MYRON
Middle Name:GP
Last Name:SLOBOGEAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:GERARD
Other - Middle Name:
Other - Last Name:SLOBOGEAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:101 THE CITY DR S
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-3201
Mailing Address - Country:US
Mailing Address - Phone:714-456-1699
Mailing Address - Fax:714-456-7547
Practice Address - Street 1:101 THE CITY DR S
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-3201
Practice Address - Country:US
Practice Address - Phone:714-456-1699
Practice Address - Fax:714-456-7547
Is Sole Proprietor?:No
Enumeration Date:2011-08-07
Last Update Date:2025-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC204888207XX0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0801XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Trauma