Individual
DR. EMILY FAYE BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
436 N BEDFORD DR, SUITE 202, BEVERLY HILLS, CA 90210-4310
(310) 278-8811
(310) 278-1316
Mailing address
436 N BEDFORD DR, SUITE 202, BEVERLY HILLS, CA 90210-4310
(310) 278-8811
(310) 278-1316
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G38218
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1366569139
NPI ORGANIZATION (INC.)
—
01
—
WG38218A
PPIN
—
Enumeration date
04/24/2007
Last updated
07/08/2007
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