| Bloomwell Md Medical Corporation | |
|
333 Sunset Ave Ste 110a Suisun City CA 94585-2003 | |
| (707) 753-2388 | |
| Not Available |
| Full Name | Bloomwell Md Medical Corporation |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 333 Sunset Ave Ste 110a, Suisun City, California |
| Authorized Official Name and Position | Kaosoluchi Enendu (CEO) |
| Authorized Official Contact | 7077532388 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloomwell Md Medical Corporation 333 Sunset Ave Ste 110a Suisun City CA 94585-2003 Ph: () - | Bloomwell Md Medical Corporation 333 Sunset Ave Ste 110a Suisun City CA 94585-2003 Ph: (707) 753-2388 |
| NPI Number | 1952262016 |
|---|---|
| Provider Enumeration Date | 11/19/2025 |
| Last Update Date | 11/19/2025 |
| Certification Date | 11/19/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952262016 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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