Individual
DAVID R BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17822 BEACH BLVD, #325, HUNTINGTON BEACH, CA 92647
(714) 843-6550
(714) 843-6560
Mailing address
17822 BEACH BLVD, #325, HUNTINGTON BEACH, CA 92647-7101
(714) 843-6550
(714) 843-6560
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
G069614
CA
Other
Enumeration date
01/05/2007
Last updated
07/17/2018
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