Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEFFREY HOWARD BLOOM, D.O.
ActiveDR. JEFFREY HOWARD BLOOM, D.O. is a Sports Medicine healthcare provider located in NEWPORT BEACH, California. NPI 1669472148 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · NEWPORT BEACH, CA
Registration Details
- NPI Number
- 1669472148
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 27, 2005 (21.005011571696 yrs)
- Last Updated
- Jul 8, 2007
- License
-
20A6397 (CA)
Practice Information
- Address
-
20311 SW ACACIA STSUITE 100NEWPORT BEACH, CA, 926601733Browse CA providers · Browse ZIP 92660
- Phone
- 9492631242
- Fax
- 9492631280
- Primary Specialty
-
Sports Medicine
207QS0010X
Other Sports Medicine Providers in NEWPORT BEACH, CA
| Name | Credential | NPI |
|---|---|---|
| DR. EMILIA RAVSKI | D.O | 1396030763 |
| CAMBRIA ANNE JUDD | M.D. | 1740549278 |
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.