Michael Gary Bloom
Sports Medicine Doctor
15243 Van Owen St #403
Van Nuys
, California 91405
Michael Gary Bloom
Sports Medicine Doctor
15243 Van Owen St #403
Van Nuys
, California 91405
(818) 988-3416
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About
Features
Specialties
- Sports Medicine Doctor
Languages spoken
- English
Location
First Address
- Michael Gary Bloom
- 15243 Van Owen St #403
- Van Nuys, CA
- Zip : 91405
- Fax : (818) 988-3416
- Phone : (818) 988-8800
Second Address
- Michael Gary Bloom
- 15243 Van Owen St #403
- Van Nuys, CA
- Zip : 91405
- Fax : (818) 988-3416
- Phone : (818) 988-8800
Reviews
FAQs
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What type of doctor is Michael Gary Bloom
In what state does Michael Gary Bloom practice in?
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What is Michael Gary Bloom ’s gender?
Is Michael Gary Bloom a sole practitioner?
Is Michael Gary Bloom accepting new patients?
What languages does Michael Gary Bloom speak?
Does Michael Gary Bloom accept insurance?
Does Michael Gary Bloom offers telemedicine?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204C00000X | Sports Medicine Doctor | A23832 | CA |
National Provider Identifier
| NPI | 1821197591 |
|---|---|
| Provider Name | Michael Gary Bloom |
| First Address | Van Nuys, CA 91405 |
| Second Address | Van Nuys, CA 91405 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/09/2006 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00A238320 | (05) | CA |
| A82878 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.