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 201, CLEARLAKE, CA 95422-9814
(707) 994-2920
(707) 994-2917
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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