# AYUDA MEDICAL, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770355257
- **Authorized official:** DR. MATTHEW LEE BLOOM DO (MEDICAL DIRECTOR)
- **Authorized official phone:** (805) 351-0745

## Contact information

- **Practice address:** 42544 10TH ST W STE G, LANCASTER, CA 93534-7079
- **Practice address phone:** (805) 351-0745
- **Practice address fax:** (805) 288-6744
- **Mailing address:** 42544 10TH ST W STE G, LANCASTER, CA 93534-7079
- **Mailing address phone:** (805) 351-0745
- **Mailing address fax:** (805) 288-6744

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NR0400X | Rehabilitation Chiropractor | — | NULL | — |
| 111NR0400X | Rehabilitation Chiropractor | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 261QP3300X | Pain Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 10/26/2023
- **Last updated:** 10/26/2023