Bloom, Jonathan Joseph

Bloom, Jonathan Joseph is an individual health care provider with primary practice located at 170 S Spruce Ave Ste 200 , South San Francisco CA 94080-4557. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is his primary health care specialty. Bloom, Jonathan Joseph can be contacted via phone (650) 517-8220.

Contact Information

Primary practice address
170 S Spruce Ave Ste 200 South San Francisco CA 94080-4557
Phone: (650) 517-8220
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Social Worker 104100000X ASW113373 California

Profile Details

NPI number 1295425320
LBN Legal business name Bloom, Jonathan Joseph
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2023
Last updated May 11th, 2023 - about 3 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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