BLOOMFIELD WEST INC NPI 1487740452

NPI Information

  • NPI: 1487740452
  • Provider Name: BLOOMFIELD WEST INC
  • Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
  • Entity Type: Organization
  • :
  • Address: 3333 E IMPERIAL HWY
    LYNWOOD, CA
    ZIP 90262
  • Phone: (310) 638-6691

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NPI Details

BLOOMFIELD WEST INC is an intermediate care facility mentally retarded in Lynwood, CA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. BLOOMFIELD WEST INC NPI is 1487740452. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

3333 E IMPERIAL HWY
LYNWOOD, CA
ZIP 90262-305
Phone: (310) 638-6691

The provider's authorized official is Ana Maria Candelas .
The authorized official title is Ar Systems Manager and has the following contact phone number (949) 740-3454.

The enumeration date for this NPI number is 10/5/2006 and was last updated on 10/20/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1315P00000XIntermediate Care Facility, Intellectual Disabilities960000541CALIFORNIANo
2315P00000XIntermediate Care Facility, Intellectual Disabilities550001863CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1550001863MEDICAIDCALIFORNIA
2LTC90066FMEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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