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
475 N FORBES ST, LAKEPORT, CA 95453-4725
(707) 263-6346
(707) 263-5927
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
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
06/28/2011
Last updated
06/30/2011
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