Organization
MATTHEW L. BLOOM, D.O., PC
Active
Other names
Matthew L. Bloom, D.O., PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW LEE BLOOM DO (OWNER)
(805) 351-0745
Entity
Organization
Contact information
Practice address
1280 S VICTORIA AVE STE 250, VENTURA, CA 93003-6521
(805) 351-0745
(805) 288-6744
Mailing address
1280 S VICTORIA AVE STE 250, VENTURA, CA 93003-6521
(805) 351-0745
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
09/18/2020
Last updated
04/19/2024
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