| NPI | 1538186275 |
|---|---|
| Other Name | BLOSSOM RIDGE MEDICAL GROUP INC |
| Entity Type | Organization |
| Authorized Contact | KIM LYNN HAYES Manager 408-377-3130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2015-02-25 |