Individual provider · Type 1 NPI
Justin Glavis-Bloom, MD
Body Imaging Physician · Orange, CA
NPI number
1124474259
Active
Practice location
101 The City Dr S
Orange, CA 92868-3201
Mailing address
200 S Manchester Ave Ste 300
Orange, CA 92868-3219
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | A154223 (CA) |
| Diagnostic Radiology Physician | 2085R0202X | 345511 (NY) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Body Imaging Physician Primary | 2085B0100X | A154223 (CA) |
Body Imaging Physician: A Radiology doctor of Osteopathy that specializes in Body Imaging.
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Other body imaging physician providers in Orange
- Akash C. Joshi, MDBody Imaging Physician Orange, CA NPI 1013913490
- Gerald K. Lee, MDBody Imaging Physician Orange, CA NPI 1013928225
- Martin Roberto Goyenechea, MDBody Imaging Physician Orange, CA NPI 1104146026
- Garrett Graham Ward, MDBody Imaging Physician Orange, CA NPI 1235191966
- Karen Nguyen Tran-Harding, MDBody Imaging Physician Orange, CA NPI 1467896563
- Paul Tung, DOBody Imaging Physician Orange, CA NPI 1487978318
- April Ballard, MDBody Imaging Physician Orange, CA NPI 1497243208
- Fataneh Sarlati, MDBody Imaging Physician Orange, CA NPI 1497873285
About NPI 1124474259
Justin Glavis-Bloom, MD's National Provider Identifier is 1124474259, issued on May 7, 2016. The primary taxonomy on file is Body Imaging Physician (2085B0100X), and the practice location is in Orange, CA. The record was last updated on Jul 14, 2026.