Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL GARY BLOOM, MD
Active Sole ProprietorMICHAEL GARY BLOOM, MD is a Neuromusculoskeletal Medicine & OMM healthcare provider located in VAN NUYS, California. NPI 1821197591 is currently active in the NPPES registry. Verify at CMS.
Neuromusculoskeletal Medicine & OMM · VAN NUYS, CA
Registration Details
- NPI Number
- 1821197591
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 21, 2006 (19.930709452181 yrs)
- Last Updated
- Jul 9, 2007
- License
-
A23832 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
15243 VAN OWEN ST #403VAN NUYS, CA, 91405Browse CA providers · Browse ZIP 91405
- Phone
- 8189888800
- Fax
- 8189883416
- Primary Specialty
-
Neuromusculoskeletal Medicine & OMM
204C00000X
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.