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Contact Information

ADVENTIST HEALTH CALIFORNIA MEDICAL GROUP, INC.
475 N FORBES ST
LAKEPORT, CA95453-4725
 Phone: 707-263-6346
 Fax: 707-263-5927
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ADVENTIST HEALTH CALIFORNIA MEDICAL GROUP INC · (Female)

NPI Number 1346537396
Status Active
Credentials
Entity Individual
Enumeration date 06/28/2011
Last updated 06/30/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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