Ellie Bloomfield MD

NPI #1164602660 in Glendale, California

Provider Information

NPI Number: 1164602660
Entity Type: Organization
Organization Name: Ellie Bloomfield MD
Primary Specialty: Internal Medicine
Enumeration Date: Nov 13, 2007
Last Updated: Jan 22, 2008

Practice Location

Address: 1808 VERDUGO BLVD STE 403
City: Glendale
State: California
ZIP Code: 91208-1490
Phone: (818) 790-7098

Authorized Official

Name: ELLIE HOPE BLOOMFIELD, M.D.
Title: OWNER
Phone: (818) 790-7098

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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