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 |