Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIMOTHY BLOOM
Active Sole ProprietorPsychiatric Hospital · TARZANA, CA
Registration Details
- NPI Number
- 1457892580
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 8, 2017 (9.1393419865412 yrs)
- Last Updated
- Mar 8, 2017
- License
-
930000163 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
18646 OXNARD STTARZANA, CA, 913561411Browse CA providers · Browse ZIP 91356
- Phone
- 8189961051
- Primary Specialty
-
Psychiatric Hospital
283Q00000X
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.