Adventist Health Physician Network
NPI #1023315116 in Clearlake, California
Provider Information
- NPI Number
- 1023315116
- Entity Type
- Organization
- Organization Name
- Adventist Health Physician Network
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- ADVENTIST HEALTH PHYSICIAN NETWORK
- Primary Specialty
- Family Medicine
- Enumeration Date
- Feb 25, 2011
- Last Updated
- Jun 8, 2011
Practice Location
- Address
- 15322 LAKESHORE DR
- Address 2
- SUITE 202
- City
- Clearlake
- State
- California
- ZIP Code
- 95422-9814
- Phone
- (707) 994-0305
Authorized Official
- Name
- JEFF CONKLIN
- Title
- PRESIDENT
- Phone
- (916) 789-4209
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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