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NPI Profile for ADVENTIST HEALTH CALIFORNIA MEDICAL GROUP INC in CLEARLAKE, CA.
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Cardiovascular Disease |
207RC0000X | 11 | Physician/Internal Medicine | |
Urology |
208800000X | 34 | Physician/Urology |
| NPI # | 1154646982 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 04/05/2010 | |
| Last updated | 04/05/2010 - About 16 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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ADVENTIST HEALTH CALIFORNIA MEDICAL GROUP, INC.