STUART BLOOM

NORTHRIDGE, CA
NPI1548235567
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207L00000X Anesthesiology
(Licence: CA  20A3367)
Additional Taxonomies207LP2900X Anesthesiology, Pain Medicine
(Licence: CA  20A3367)
Enumeration Date2006-02-22
Last Update Date2009-06-23
Business Address
-- STUART BLOOM D.O.
18300 ROSCOE BLVD
NORTHRIDGE, CA 91325-4105
Phone number: 818-885-5375
Mailing Address
-- STUART BLOOM D.O.
PO BOX 7001
TARZANA, CA 91357-7001
Phone number: 818-888-7815