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Organization
ADVENTIST HEALTH CALIFORNIA MEDICAL GROUP, INC.
Active
Organization
ADVENTIST HEALTH CALIFORNIA MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAYE A. DONNELLY (SPECIALIST, CONTRACT COMPLIANCE)
(707) 968-2809
Entity
Organization
Contact information
Practice address
15322 LAKESHORE DR, SUITE 202, CLEARLAKE, CA 95422-9814
(707) 994-0305
(707) 995-9447
Mailing address
1001 ADAMS ST, SUITE 102, SAINT HELENA, CA 94574-1107
(707) 968-2809
(707) 963-9185
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/30/2011
Last updated
06/30/2011
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