Healthcare Provider Details

I. General information

NPI: 1295668382
Provider Name (Legal Business Name): INSPIRE & BLOOM LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 GEER RD STE 101A
TURLOCK CA
95382-2455
US

IV. Provider business mailing address

2445 GEER RD # 476
TURLOCK CA
95382-1401
US

V. Phone/Fax

Practice location:
  • Phone: 209-926-9500
  • Fax: 209-926-1744
Mailing address:
  • Phone: 209-926-9500
  • Fax: 209-926-1744

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0006X
TaxonomyDevelopmental - Behavioral Pediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. OLIVIA MORGAN
Title or Position: CEO
Credential:
Phone: 209-926-9500