MICHAEL GARY BLOOM

VAN NUYS, CA
NPI1821197591
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy204C00000X Neuromusculoskeletal Medicine, Sports Medicine
(Licence: CA  A23832)
Enumeration Date2006-09-21
Last Update Date2007-07-09
Business Address
-- MICHAEL GARY BLOOM MD
15243 VAN OWEN ST #403
VAN NUYS, CA 91405
Phone number: 818-988-8800
Mailing Address
-- MICHAEL GARY BLOOM MD
15243 VAN OWEN ST #403
VAN NUYS, CA 91405
Phone number: 818-988-8800