Organization
BLOSSOM MEDICAL GROUP LLC
Active
Organization
BLOSSOM MEDICAL GROUP LLC
Active
Parent organization
BLOSSOM MEDICAL GROUP LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BLOSSOM MEDICAL GROUP LLC
Authorized official
JOSEFINA GUEVARA (MD)
(678) 792-0778
Entity
Organization
Contact information
Practice address
538 W MONTE VISTA AVE, VACAVILLE, CA 95688-3620
(678) 792-0778
Mailing address
538 W MONTE VISTA AVE, VACAVILLE, CA 95688-3620
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
—
—
Other
Enumeration date
11/24/2025
Last updated
11/24/2025
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