JEFFREY BLOOM D.O. INC, DBA BACK BAY MEDICAL
Organization (NPI-2)
Active
Family Medicine, Sports Medicine
Provider Information
- NPI Number
1538405220- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 20311 SW ACACIA ST #100, NEWPORT BEACH, CA, 926601733
- Phone
- (949) 263-1242
- Fax
- (949) 263-1280
Specialties & Taxonomies
Family Medicine, Sports Medicine
Primary License: CA #20A6397