Organization
ADVENTIST HEALTH CALIFORNIA MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAYE A DONNELLY (SPECIALIST)
(707) 968-2809
Entity
Organization
Contact information
Practice address
18990 COYOTE VALLEY RD, SUITE 10, HIDDEN VALLEY LAKE, CA 95467-8337
(707) 987-8344
(707) 987-8395
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
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/09/2011
Last updated
08/09/2011
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