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Organization
AYUDA MEDICAL, INC
Active
Organization
AYUDA MEDICAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW LEE BLOOM DO (MEDICAL DIRECTOR)
(805) 351-0745
Entity
Organization
Contact information
Practice address
42544 10TH ST W STE G, LANCASTER, CA 93534-7079
(805) 351-0745
(805) 288-6744
Mailing address
42544 10TH ST W STE G, LANCASTER, CA 93534-7079
(805) 351-0745
(805) 288-6744
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
—
NULL
111NR0400X
Rehabilitation Chiropractor
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
261QP3300X
Pain Clinic/Center
—
NULL
Other
Enumeration date
10/26/2023
Last updated
10/26/2023
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