Bloom, Jeffrey Howard

Bloom, Jeffrey Howard is an individual health care provider with primary practice located at 20311 Sw Acacia St Suite 100, Newport Beach CA 92660-1733. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Bloom, Jeffrey Howard can be contacted via phone (949) 263-1242.

Contact Information

Primary practice address
20311 Sw Acacia St Suite 100 Newport Beach CA 92660-1733
Phone: (949) 263-1242
Fax: (949) 263-1280
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 20A6397 California

Profile Details

NPI number 1669472148
LBN Legal business name Bloom, Jeffrey Howard
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669472148 NPPES
California Other 20A6397 STATE LICENSE NUMBER

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