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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