ADVENTIST HEALTH CALIFORNIA MEDICAL GROUP INC. NPI 1831486653

NPI Information

ADVENTIST HEALTH CALIFORNIA MEDICAL GROUP, INC. is a cardiovascular disease internal medicine in Clearlake, CA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. ADVENTIST HEALTH CALIFORNIA MEDICAL GROUP, INC. NPI is 1831486653. 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
SUITE C
CLEARLAKE, CA
ZIP 95422-107
Phone: (707) 995-3764
Fax: (707) 995-0904

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

The enumeration date for this NPI number is 6/30/2011 and was last updated on 6/30/2011.

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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