Adventist Health California Medical Group, Inc.
NPI #1508153321 in Clearlake, California
Provider Information
- NPI Number
- 1508153321
- Entity Type
- Organization
- Organization Name
- Adventist Health California Medical Group, Inc.
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jun 30, 2011
- Last Updated
- Jun 30, 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
- KAYE A. DONNELLY
- Title
- SPECIALIST, CONTRACT COMPLIANCE
- Phone
- (707) 968-2809
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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