Individual
IRVING AARON BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
130 CEDAR RD, SUITE 310, VISTA, CA 92083-5102
(760) 630-9095
(760) 630-9258
Mailing address
130 CEDAR RD, SUITE 310, VISTA, CA 92083-5102
(760) 630-9095
(760) 630-9258
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
G32967
CA
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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