Bloom, Allan I.

Bloom, Allan I. is an individual health care provider with primary practice located at 505 Parnassus Ave , San Francisco CA 94143-2204. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Bloom, Allan I. can be contacted via phone (415) 353-1300.

Contact Information

Primary practice address
505 Parnassus Ave San Francisco CA 94143-2204
Phone: (415) 353-1300
Fax: (415) 353-8570
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A66188 California

Profile Details

NPI number 1396788253
LBN Legal business name Bloom, Allan I.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Jul 9th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396788253 NPPES
California MEDICAID 00A661880

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