Bloom, Richard
Bloom, Richard is an sole proprietor health care provider with primary practice located at 4105 Costado Rd. , Pebble Beach CA 93953-3004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Bloom, Richard can be contacted via phone (831) 626-3256.Contact Information
Primary practice address
4105 Costado Rd.
Pebble Beach CA 93953-3004
Phone: (831) 626-3256
Fax: (831) 626-3268
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | C27398 | California |
Profile Details
| NPI number | 1003189010 |
|---|---|
| LBN Legal business name | Bloom, Richard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 22nd, 2012 |
| Last updated | Feb 22nd, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003189010 | NPPES |
| California | Other | C27398 | NARCOTICS LICENSE # AB2042012 |
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