Bloom, Matthew Lee

Bloom, Matthew Lee is an sole proprietor health care provider with primary practice located at 1280 S Victoria Avenue Suite # 250, Ventura CA 93003-9300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Bloom, Matthew Lee can be contacted via phone (805) 351-0745.

Contact Information

Primary practice address
1280 S Victoria Avenue Suite # 250 Ventura CA 93003-9300
Fax: (805) 288-6744
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 20A16383 California

Profile Details

NPI number 1801273305
LBN Legal business name Bloom, Matthew Lee
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 4th, 2015
Last updated Dec 16th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801273305 NPPES
California Other 20A16383 STATE LICENSE

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