Glavis-Bloom, Justin

Glavis-Bloom, Justin is an individual health care provider with primary practice located at 101 The City Dr S , Orange CA 92868-3201. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Glavis-Bloom, Justin can be contacted via phone (714) 456-7237.

Contact Information

Primary practice address
101 The City Dr S Orange CA 92868-3201
Phone: (714) 456-7237
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X A154223 California
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A154223 California

Profile Details

NPI number 1124474259
LBN Legal business name Glavis-Bloom, Justin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2016
Last updated Dec 13th, 2022 - about 2 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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