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ADVENTIST HEALTH CALIFORNIA MEDICAL GROUP INC. NPI 1154571636


NPI Information

NPI: 1154571636
Provider Name: ADVENTIST HEALTH CALIFORNIA MEDICAL GROUP, INC.

Doing Business As: ST. HELENA NEUROLOGY

Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

CLIA Number: 05D0600481

Address:
18990 COYOTE VALLEY ROAD
SUITE 8
HIDDEN VALLEY LAKE, CA
ZIP 95467
Phone: (707) 987-8344
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ADVENTIST HEALTH CALIFORNIA MEDICAL GROUP, INC. is a neurology psychiatry neurology in Hidden Valley Lake, CA. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. ADVENTIST HEALTH CALIFORNIA MEDICAL GROUP, INC. NPI is 1154571636. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As St. Helena Neurology.

The provider's business location address is:

18990 COYOTE VALLEY ROAD
SUITE 8
HIDDEN VALLEY LAKE, CA
ZIP 95467
Phone: (707) 987-8344
Fax: (707) 987-8395

The provider's authorized official is Kaye A. Donnelly .
The authorized official title is Coordinator and has the following contact phone number (707) 968-2809.

The CLIA number assigned to this NPI record is 05D0600481 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 9/22/2008 and was last updated on 9/23/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurologyG88201CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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