Ellie Bloomfield Md

LBN: Ellie Bloomfield Md
Ellie Bloomfield Md is an health care organization with primary practice located at 1808 Verdugo Blvd Ste 403 , Glendale CA 91208-1490. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Ellie Bloomfield Md can be contacted via phone (818) 790-7098, or through Bloomfield, Ellie Hope via phone (818) 790-7098.

Contact Information

Primary practice address
1808 Verdugo Blvd Ste 403 Glendale CA 91208-1490
Phone: (818) 790-7098
Fax: (818) 790-7099
Website:
Map and Directions
Authorized official contact:
Name: Bloomfield, Ellie Hope Doctor of Medicine (MD)
Phone: (818) 790-7098

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G65919 California

Profile Details

NPI number 1164602660
LBN Legal business name Ellie Bloomfield Md
DBA Doing business as
Authorized official Bloomfield, Ellie Hope Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 13th, 2007
Last updated Jan 22nd, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164602660 NPPES
California MEDICAID 00G659190

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