Healthcare Provider Details

I. General information

NPI: 1619895356
Provider Name (Legal Business Name): BLOOMLIFE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

181 2ND ST
SAN FRANCISCO CA
94105-3808
US

IV. Provider business mailing address

181 2ND ST
SAN FRANCISCO CA
94105-3808
US

V. Phone/Fax

Practice location:
  • Phone: 315-599-3280
  • Fax:
Mailing address:
  • Phone: 315-599-3280
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: DR. ERIC DY
Title or Position: CEO
Credential:
Phone: 415-215-4251