# MATTHEW L BLOOM DO PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Matthew L. Bloom, D.O., PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356957047
- **Authorized official:** DR. MATTHEW LEE BLOOM DO (OWNER)
- **Authorized official phone:** (805) 351-0745

## Contact information

- **Practice address:** 1280 S VICTORIA AVE STE 250, VENTURA, CA 93003-6521
- **Practice address phone:** (805) 351-0745
- **Practice address fax:** (805) 288-6744
- **Mailing address:** 1280 S VICTORIA AVE STE 250, VENTURA, CA 93003-6521
- **Mailing address phone:** (805) 351-0745

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 09/18/2020
- **Last updated:** 07/06/2026