Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RICHARD BLOOM, MD
Active Sole ProprietorDR. RICHARD BLOOM, MD is a Nephrology healthcare provider located in PEBBLE BEACH, California. NPI 1003189010 is currently active in the NPPES registry. Verify at CMS.
Nephrology · PEBBLE BEACH, CA
Registration Details
- NPI Number
- 1003189010
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 22, 2012 (14.475935625474 yrs)
- Last Updated
- Feb 22, 2012
- License
-
C27398 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4105 COSTADO RD.PEBBLE BEACH, CA, 939533004Browse CA providers · Browse ZIP 93953
- Phone
- 8316263256
- Fax
- 8316263268
- Primary Specialty
-
Nephrology
207RN0300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.