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1801273305
MATTHEW LEE BLOOM
VENTURA, CA
NPI
1801273305
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: CA 20A16383)
Enumeration Date
2015-05-04
Last Update Date
2022-12-16
Business Address
Dr. MATTHEW LEE BLOOM DO
1280 S VICTORIA AVENUE SUITE # 250
VENTURA, CA 93003-9300
Phone number: 805-351-0745
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Mailing Address
Dr. MATTHEW LEE BLOOM DO
1280 S VICTORIA AVENUE SUITE #250
VENTURA, CA 93003-7844
Phone number: 805-351-0745
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