| Bloom Family Wellness Center, Llc | |
|
1733 Haynes Ln Redondo Beach CA 90278-4720 | |
| (310) 988-9722 | |
| Not Available |
| Full Name | Bloom Family Wellness Center, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1733 Haynes Ln, Redondo Beach, California |
| Authorized Official Name and Position | Elizabeth Monday (CO-OWNER/FOUNDER) |
| Authorized Official Contact | 3109889722 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom Family Wellness Center, Llc 1733 Haynes Ln Redondo Beach CA 90278-4720 Ph: (310) 988-9722 | Bloom Family Wellness Center, Llc 1733 Haynes Ln Redondo Beach CA 90278-4720 Ph: (310) 988-9722 |
| NPI Number | 1912575986 |
|---|---|
| Provider Enumeration Date | 06/15/2021 |
| Last Update Date | 06/15/2021 |
| Certification Date | 06/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912575986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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