Healthcare Provider Details

I. General information

NPI: 1053232504
Provider Name (Legal Business Name): REMEDY AND BLOOM PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5267 VIA BAJAMAR
HEMET CA
92545
US

IV. Provider business mailing address

5267 VIA BAJAMAR
HEMET CA
92545
US

V. Phone/Fax

Practice location:
  • Phone: 714-340-5211
  • Fax:
Mailing address:
  • Phone: 714-340-5211
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: JULIA DYER
Title or Position: CO-OWNER
Credential: PMNP
Phone: 714-340-5211