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BLOOM, DAVID ARI       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: 1215 E CHAPMAN AVE
ORANGE CA 92866

Address last updated on 6/27/2024
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 30136
Dated: 7/11/2013
Expires: 7/1/2025
Temp. Lic. Issued: 6/14/2013
Temp. Lic. Expires: 7/13/2013
License Type: Medical Doctor
Specialty: General Surgery
Undersea & Hyperbaric Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Tel Aviv Univ, Sackler Sch of Med, Tel Aviv-Yafo, Israel
Graduated: 5 / 2003
CME Year: 2025
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
9/30/2022 Voluntary Submittal to Jurisdiction
8/23/2021 Complaint Citation
Board Filings and/or Orders:
09/30/2022
08/23/2021
08/23/2021
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF SURGERY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
1215 E CHAPMAN AVE
ORANGE CA 92866

Phone #:
Fax #:
Mon:
Tue:
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