Bloom, Gitte S.
Bloom, Gitte S. is an individual health care provider with primary practice located at 607 S Glenoaks Blvd , Burbank CA 91502-1424. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Bloom, Gitte S. can be contacted via phone (818) 557-2671.Contact Information
Primary practice address
607 S Glenoaks Blvd
Burbank CA 91502-1424
Phone: (818) 557-2671
Fax: (818) 557-0761
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A72269 | California |
Profile Details
| NPI number | 1578567822 |
|---|---|
| LBN Legal business name | Bloom, Gitte S. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2005 |
| Last updated | Sep 13th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578567822 | NPPES |
| California | MEDICAID | 00A722690 |
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