| Ellie Bloomfield Md | |
|
1808 Verdugo Blvd Ste 403 Glendale CA 91208-1490 | |
| (818) 790-7098 | |
| (818) 790-7099 |
| Full Name | Ellie Bloomfield Md |
|---|---|
| Speciality | Internal Medicine |
| Location | 1808 Verdugo Blvd Ste 403, Glendale, California |
| Authorized Official Name and Position | Ellie Hope Bloomfield (OWNER) |
| Authorized Official Contact | 8187907098 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellie Bloomfield Md 1808 Verdugo Blvd Ste 403 Glendale CA 91208-1490 Ph: (818) 790-7098 | Ellie Bloomfield Md 1808 Verdugo Blvd Ste 403 Glendale CA 91208-1490 Ph: (818) 790-7098 |
| NPI Number | 1164602660 |
|---|---|
| Provider Enumeration Date | 11/13/2007 |
| Last Update Date | 01/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164602660 | NPI | - | NPPES |
| 00G659190 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G65919 (California) | Primary |
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