Organization
BLOSSOM RIDGE MEDICAL, INC.
Active
Organization
BLOSSOM RIDGE MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD AGUSTIN (CEO)
(800) 991-6147
Entity
Organization
Contact information
Practice address
2554 MILLCREEK DR, SACRAMENTO, CA 95833-3678
(800) 991-6147
(916) 382-7683
Mailing address
2554 MILLCREEK DR, SACRAMENTO, CA 95833-3678
(800) 991-6147
(916) 382-7683
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/30/2019
Last updated
03/23/2026
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