Organization
BLOSSOMING HEALTH
Active
Organization
BLOSSOMING HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALIAA ALDINE LAC, DAOM (OWNER)
(650) 554-0753
Entity
Organization
Contact information
Practice address
830 STEWART DR # 140, SUNNYVALE, CA 94085-4513
(650) 554-0753
Mailing address
101 W WEDDELL DR APT 241, SUNNYVALE, CA 94089-1580
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/29/2021
Last updated
12/29/2021
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