Bloom, Richard J.

Bloom, Richard J. is an individual health care provider with primary practice located at 710 Lawrence Expy , Santa Clara CA 95051-5173. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Bloom, Richard J. can be contacted via phone (408) 851-1000.

Contact Information

Primary practice address
710 Lawrence Expy Santa Clara CA 95051-5173
Phone: (408) 851-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X G47974 California

Profile Details

NPI number 1104903053
LBN Legal business name Bloom, Richard J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2006
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 1104903053 NPPES
California MEDICAID 00G479740

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