Adventist Health California Medical Group, Inc.

NPI #1831486653 in Clearlake, California

Provider Information

NPI Number
1831486653
Entity Type
Organization
Organization Name
Adventist Health California Medical Group, Inc.
Primary Specialty
Internal Medicine - Cardiovascular Disease
Enumeration Date
Jun 30, 2011
Last Updated
Jun 30, 2011

Practice Location

Address
15250 LAKESHORE DR
Address 2
SUITE C
ZIP Code
95422-8107
Phone
(707) 995-3764

Authorized Official

Name
KAYE A. DONNELLY
Title
SPECIALIST, CONTRACT COMPLIANCE
Phone
(707) 968-2809

Specialties & Taxonomy Codes

Specialty
Internal Medicine - Cardiovascular DiseaseCardiovascular Disease

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