Jeffrey Bloom DO Inc, Dba Back Bay Medical
Jeffrey Bloom DO Inc, Dba Back Bay Medical provides Sports Medicine (Family Medicine) Physician services in Newport Beach, California. Licensed in California. Registered with an NPI since 2012.
- Licensed in
- CA
- In the registry since
- 2012
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
20311 SW Acacia St #100Newport Beach, CA 92660-1733 Not confirmed with CMS for 13 years — call before visiting
Phone: (949) 263-1242
Fax: (949) 263-1280
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Sports Medicine (Family Medicine) Physician (primary) | Taxonomy 207QS0010X · Licence 20A6397 (CA) |
|---|
Record details
| NPI number | 1538405220 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jeffrey Bloom — Owner · (949) 263-1242 |
| NPI enumerated | December 27, 2012 |
| Last updated in NPPES | December 27, 2012 |
| Mailing address | 20311 Sw Acacia St, 100, Newport Beach, CA 92660-1733 |
Other providers in Newport Beach
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Ashkan Salamatipour DO Inc
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Dr. Jeffrey Howard Bloom, DO
20311 SW Acacia St Ste 100, Newport Beach, CA 92660-1733 · (949) 263-1242
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Cambria Anne Judd, MD
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Dr. Emilia Ravski, DO
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