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Organization
ADVENTIST HEALTH CALIFORNIA MEDICAL GROUP, INC.
Active
Organization
ADVENTIST HEALTH CALIFORNIA MEDICAL GROUP, INC.
Active
Other names
Coon Joint Replacement Institute
Organization subpart
No
Provider details
NPI number
Authorized official
KAYE A DONNELLY (CREDENTIALING COORDINATOR)
(707) 968-2809
Entity
Organization
Contact information
Practice address
6 WOODLAND RD, SUITE 202, SAINT HELENA, CA 94574-9501
(707) 968-0670
(707) 968-9580
Mailing address
1572 RAILROAD AVE, SUITE 2, SAINT HELENA, CA 94574-1169
(707) 968-2809
(707) 963-9185
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G86235
CA
Other
Enumeration date
03/22/2010
Last updated
03/22/2010
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