| NPI | 1356957047 |
|---|---|
| Other Name | MATTHEW L. BLOOM, D.O., PC |
| Entity Type | Organization |
| Authorized Contact | MATTHEW LEE BLOOM Owner 805-351-0745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2024-04-19 |