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Individual

KEVIN ROSENBLOOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
C.PED

Contact information

Practice address
2020 BROADWAY, SANTA MONICA, CA 90404-2910
(312) 752-0990
Mailing address
2964 CORRAL CANYON RD, MALIBU, CA 90265-2915

Taxonomy

Speciality
Code
Description
License number
State
224L00000X
Pedorthist
Primary

Other

Enumeration date
08/27/2021
Last updated
08/27/2021
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