Search › California › 106H00000X
Jacqueline Bloom-Genevitz, PSYD, MFT
NPI 1073652327 · on the registry since 2007 · sole proprietor
Practice
- Address
- 12340 Santa Monica Blvd Ste 214
Los Angeles, CA 90025 - Phone
- (310) 582-1513
- Fax
- (818) 394-6910
- Organisation at this address
- Roya Yazdani
Acufather Inc
W.I.S.E. Group
American 3j Inc
Afshin Golyad Dds IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 14
Additional practice sites
- 464 S Central Ave, Glendale, CA
- 7600 E. Graves Ave, Rosemead, CA
Registry record
- Primary taxonomy
- 106H00000X
106H00000X
- Also registered as
- 103T00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-05-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California