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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.

NPI Number 1346537396
LBN Legal business name ADVENTIST HEALTH CALIFORNIA MEDICAL GROUP, INC.
Authorized official KAYE DONNELLY - (SPECIALIST, CONTRACT COMPLIANCE)
Entity Organization
Organization subpart 1 No
Enumeration date 06/28/2011
Last updated 06/30/2011 - About 15 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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