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
Phone: (805) 351-0745
Fax: (805) 288-6744
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1801273305 | NPPES |
California | Other | 20A16383 | STATE LICENSE |
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