Organization
BLOSSOM RIDGE MEDICAL GROUP INC
Active
Other names
Blossom Ridge Medical Group Inc
Organization subpart
No
Provider details
NPI number
Authorized official
KIM LYNN HAYES (MANAGER)
(408) 377-3130
Entity
Organization
Contact information
Practice address
15066 LOS GATOS ALMADEN RD, LOS GATOS, CA 95032
(408) 377-9180
(408) 377-1459
Mailing address
15066 LOS GATOS ALMADEN RD, LOS GATOS, CA 95032
(408) 377-9180
(408) 377-1459
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/17/2006
Last updated
02/25/2015
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