Emily F. Bloom, M.D., Inc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

G38218 Issued in CA

Legal business name

EMILY F. BLOOM, M.D., INC

Practice address

436 N Bedford Dr
Suite 202
Beverly Hills, CA 90210-4310

Phone

(310) 278-8811

Fax

(310) 278-1316

NPI assigned

Mar 24, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Emily Faye Bloom, M.D.NPI 1346469715

Title

President

Phone

(310) 278-8811

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Emily Faye Bloom, M.D.

  • Dermatology Physician
  • Beverly Hills, CA
  • NPI 1346469715
  NPD (past) Authorized official
• Peter L Kopelson, MD

  • Dermatology Physician
  • Beverly Hills, CA
  • NPI 1053300806
  NPD (past)
• Leslie Erin Bernstein, M.D.

  • Dermatology Physician
  • Arlington Heights, IL
  • NPI 1104048776

  Multi-Specialty

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366569139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 N BEDFORD DR",
            "address_2": "SUITE 202",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104310",
            "telephone_number": "310-278-8811",
            "fax_number": "310-278-1316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 N BEDFORD DR",
            "address_2": "SUITE 202",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104310",
            "telephone_number": "310-278-8811",
            "fax_number": "310-278-1316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMILY F. BLOOM, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLOOM",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "FAYE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-278-8811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G38218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPIN",
            "identifier": "WG38218A",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emergency Room Services PC
• Emergency Specialists
• Emergency Surgical Assistants Inc
• Christopher Emerson, PH.D.
• Emil Kohan M.D. Inc.
• Emotional Wellness Management, Inc
• Emsurgcare Inc
• Pedram James Enayati, M.D.
• Endoscopy Center of Beverly Hills LLC
• Endoscopy Specialists LLC

• Dermatology Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.