1972600666 NPI number — MICHELE MARJORIE BLOOMER M.D.

Table of content: MICHELE MARJORIE BLOOMER M.D. (NPI 1972600666)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972600666 NPI number — MICHELE MARJORIE BLOOMER M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BLOOMER
Provider First Name:
MICHELE
Provider Middle Name:
MARJORIE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1972600666
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/13/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
UNIVERSITY OF CALIFORNIA SAN FRANCISCO
Provider Second Line Business Mailing Address:
10 KORET WAY, RM K220, BOX 0730
Provider Business Mailing Address City Name:
SAN FRANCISCO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94143-0001
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
415-476-3705
Provider Business Mailing Address Fax Number:
415-476-3511

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
461 SCENIC AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PIEDMONT
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94611-3420
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
415-476-3705
Provider Business Practice Location Address Fax Number:
415-476-3511
Provider Enumeration Date:
09/17/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207W00000X , with the licence number:  A72716 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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