Individual
JOHN VIDRIH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15630 18TH AVE, CLEARLAKE, CA 95422-9336
(707) 994-6486
Mailing address
2100 POWELL ST STE 400, EMERYVILLE, CA 94608-1872
(510) 350-2600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01099009A
IN
207R00000X
Internal Medicine Physician
C171245
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
160307
MA
208M00000X
Hospitalist Physician
332273
NY
208M00000X
Hospitalist Physician
44001
AZ
208M00000X
Hospitalist Physician
Primary
C171245
CA
Other
Enumeration date
01/25/2006
Last updated
02/10/2026
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