LAKE SILVERADO CARDIOVASCULAR CONSULTANTS NPI 1770771040

NPI Information

LAKE SILVERADO CARDIOVASCULAR CONSULTANTS 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. LAKE SILVERADO CARDIOVASCULAR CONSULTANTS NPI is 1770771040. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

15250 LAKESHORE DR STE C
CLEARLAKE, CA
ZIP 95422-107
Phone: (707) 995-7077
Fax: (707) 995-0904

The provider's authorized official is Colleen Bradrick .
The authorized official title is Medical Biller and has the following contact phone number (707) 995-7077.

The enumeration date for this NPI number is 10/11/2007 and was last updated on 10/15/2007.

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:

Other Identifiers

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