Bloom, David R

Bloom, David R is an individual health care provider with primary practice located at 17822 Beach Blvd #325, Huntington Beach CA 92647. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Bloom, David R can be contacted via phone (714) 843-6550.

Contact Information

Primary practice address
17822 Beach Blvd #325 Huntington Beach CA 92647
Phone: (714) 843-6550
Fax: (714) 843-6560
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X G069614 California

Profile Details

NPI number 1417005737
LBN Legal business name Bloom, David R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2007
Last updated Jul 17th, 2018 - about 8 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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