person
Michael Gary Bloom, MD
Sports Medicine (Neuromusculoskeletal Medicine) Physician in Van Nuys, California
NPI 1821197591

Michael Gary Bloom is a Sports Medicine (Neuromusculoskeletal Medicine) Physician based in Van Nuys, CA. Michael Gary Bloom practices in Van Nuys, CA and has the professional credentials of MD. The NPI Number for Michael Gary Bloom is 1821197591 and holds a License No. A23832 (California).

The current practice location address for Michael Gary Bloom is 15243 Van Owen St #403, Van Nuys, CA and can be reached out via phone at 818-988-8800 and via fax at 818-988-3416.

Location: 15243 Van Owen St #403, Van Nuys, CA, 91405
person
Provider Profile Details
NPI Number
1821197591
Provider Name
Michael Gary Bloom
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
15243 Van Owen St #403, Van Nuys, CA, 91405
Phone Number
818-988-8800
Fax Number
818-988-3416
Provider Enumeration Date
09/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A238320 05 CA
institution
Provider Business Practice Location Address Details
Address
15243 Van Owen St #403
City
State
Zip
91405
Phone Number
818-988-8800
Fax Number
818-988-3416
person
Provider Business Mailing Address Details
Address
15243 Van Owen St #403
City
State
Zip
91405
Phone Number
818-988-8800
Fax Number
818-988-3416
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Neuromusculoskeletal Medicine, Sports Medicine
Speciality
-
Taxonomy
License No.
A23832 (California)
Definition
Definition to come.
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