Medical school: GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1972
Offers telehealth
NPI: 1710914791
Practice Locations (1)
BLOSSOM RIDGE MEDICAL GROUP INC
555 KNOWLES DR, SUITE 203
LOS GATOS, CA 950321551
4083779180
Source: CMS National Downloadable File, September 2026.