Organization
EMILY F. BLOOM, M.D., INC
Active
Organization
EMILY F. BLOOM, M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMILY FAYE BLOOM M.D. (PRESIDENT)
(310) 278-8811
Entity
Organization
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
—
WG38218A
PPIN
—
Enumeration date
03/24/2007
Last updated
08/22/2020
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