Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ERNEST BLOOM, MD
Active Sole ProprietorDermatopathology · ALAMEDA, CA
Registration Details
- NPI Number
- 1306941620
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 13, 2006 (19.604484357624 yrs)
- Last Updated
- Jan 31, 2013
- Licenses
-
G56359 (CA)G56359 (CA)G56359 (CA)G56359 (CA)G56359 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
501 S SHORE CTR W103AALAMEDA, CA, 945015762Browse CA providers · Browse ZIP 94501
- Phone
- 5102277028
- Fax
- 5102747119
- Primary Specialty
-
Dermatopathology
207ND0900X
- Additional Specialty
- Obesity Medicine
- Additional Specialty
- Dermatopathology
- Additional Specialty
- Clinical & Laboratory Dermatological Immunology
- Additional Specialty
- 207NP0225X
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.