Bloomwell MD Medical Corporation
NPI #1952262016 in Suisun City, California
Provider Information
- NPI Number
- 1952262016
- Entity Type
- Organization
- Organization Name
- Bloomwell MD Medical Corporation
- Primary Specialty
- Psychiatry & Neurology - Psychiatry
- Enumeration Date
- Nov 19, 2025
- Last Updated
- Nov 19, 2025
Practice Location
- Address
- 333 SUNSET AVE STE 110A
- City
- Suisun City
- State
- California
- ZIP Code
- 94585-2003
- Phone
- (707) 753-2388
Authorized Official
- Name
- DR. KAOSOLUCHI ENENDU, MD
- Title
- CEO
- Phone
- (707) 753-2388
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist |
| Psychiatry & Neurology - Psychiatry — Psychiatry |
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