Dr RICHARD BLOOM is a male medical professional, specializing in Clinical Social Worker. He graduated in 1971.
EISENHOWER MEDICAL CENTER
72201 COUNTRY CLUB DR
RANCHO MIRAGE
CA
922704001
Tel: 7603405999
| Npi | 1548396146 |
| Pac Id | 4183846553 |
| Professional Enrollment Id | I20141119002248 |
| Last Name | BLOOM |
| First Name | RICHARD |
| Middle Name | |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 1971 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Secondary Specialty 1 | |
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| Organization Legal Name | EISENHOWER MEDICAL CENTER |
| Group Practice Pac Id | 5890689657 |
| Number Of Group Practice Members | 258 |
| Line 1 Street Address | 72201 COUNTRY CLUB DR |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | RANCHO MIRAGE |
| State | CA |
| Zip Code | 922704001 |
| Phone Number | 7603405999 |
| Hospital Affiliation Ccn 1 | 050573 |
| Hospital Affiliation Lbn 1 | EISENHOWER MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | |
| Hospital Affiliation Lbn 2 | |
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| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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