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Contact Information

BLOOM MEDICAL GROUP CA PC
284 W SHAW AVE
CLOVIS, CA93612-3601
 Phone: 551-293-6969
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Cardiac Rehabilitation

163WC3500X
 

Rehabilitation

364SR0400X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for BLOOM MEDICAL GROUP CA PC · (Female)

NPI # 1467394874
Status Active
Credentials
Entity Individual
Enumeration date 04/06/2026
Last updated 04/06/2026 - About 2 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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