Jeffrey Bloom D.O. Inc, Dba Back Bay Medical

LBN: Jeffrey Bloom D.O. Inc, Dba Back Bay Medical
Jeffrey Bloom D.O. Inc, Dba Back Bay Medical is an health care organization with primary practice located at 20311 Sw Acacia St #100, Newport Beach CA 92660-1733. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as the primary health care specialty. Jeffrey Bloom D.O. Inc, Dba Back Bay Medical can be contacted via phone (949) 263-1242, or through Bloom, Jeffrey Howard via phone (949) 263-1242.

Contact Information

Primary practice address
20311 Sw Acacia St #100 Newport Beach CA 92660-1733
Phone: (949) 263-1242
Fax: (949) 263-1280
Website:
Map and Directions
Authorized official contact:
Name: Bloom, Jeffrey Howard Doctor of Osteopathy (DO)
Phone: (949) 263-1242

Health care specialties

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

Profile Details

NPI number 1538405220
LBN Legal business name Jeffrey Bloom D.O. Inc, Dba Back Bay Medical
DBA Doing business as
Authorized official Bloom, Jeffrey Howard Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 27th, 2012
Last updated Dec 27th, 2012 - about 12 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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