TIMOTHY BLOOM

TARZANA, CA
NPI1457892580
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy283Q00000X Psychiatric Hospital
(Licence: CA  930000163)
Enumeration Date2017-03-08
Last Update Date2017-03-08
Business Address
-- TIMOTHY BLOOM
18646 OXNARD ST
TARZANA, CA 91356-1411
Phone number: 818-996-1051
Mailing Address
-- TIMOTHY BLOOM
12280 WINDMERE AVE
SYLMAR, CA 91342-5156
Phone number: 818-287-9177