Adventist Health California Medical Group, Inc.
LBN: Adventist Health California Medical Group, Inc.
Adventist Health California Medical Group, Inc. is an health care organization with primary practice located at 15322 Lakeshore Dr Suite 203, Clearlake CA 95422-9814. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is the primary health care specialty.
Adventist Health California Medical Group, Inc. can be contacted via phone (707) 968-2809, or through Donnelly, Kaye A via phone (707) 968-2809.
Contact Information
Primary practice address
15322 Lakeshore Dr Suite 203
Clearlake CA 95422-9814
Phone: (707) 968-2809
Fax: (707) 963-9185
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | C32535 | California |
Allopathic & Osteopathic Physicians / Urology | 208800000X | A106559 | California |
Profile Details
NPI number | 1154646982 |
---|---|
LBN Legal business name | Adventist Health California Medical Group, Inc. |
DBA Doing business as | |
Authorized official | Donnelly, Kaye A |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Apr 5th, 2010 |
Last updated | Apr 5th, 2010 - about 14 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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