ST. HELENA OB/GYN CLINIC NPI 1376510586

NPI Information

ST. HELENA OB/GYN CLINIC is a specialist in Clearlake, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ST. HELENA OB/GYN CLINIC NPI is 1376510586. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

15322 LAKESHORE DR
SUITE 102
CLEARLAKE, CA
ZIP 95422-814
Phone: (707) 995-0193

The provider's authorized official is Renee W Solomon .
The authorized official title is Medical Group Coordinator and has the following contact phone number (707) 968-2870.

The CLIA number assigned to this NPI record is 05D0611927 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 3/7/2006 and was last updated on 8/22/2020.

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:

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