Organization
BLOOM PEDIATRICS
Active
Organization
BLOOM PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIANE RANSOM OTR/L (OWNER/DIRECTOR)
(424) 229-2570
Entity
Organization
Contact information
Practice address
1523 WELLESLEY AVE, LOS ANGELES, CA 90025-3629
(424) 229-2570
Mailing address
1523 WELLESLEY AVE, LOS ANGELES, CA 90025-3629
(424) 229-2570
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
01/07/2020
Last updated
01/07/2020
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