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Contact Information

ADVENTIST HEALTH CALIFORNIA MEDICAL GROUP, INC.
999 ADAMS ST
106
SAINT HELENA, CA94574-1148
 Phone: 707-963-4997
 Fax: 707-963-4990
 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 1902045149
LBN Legal business name ADVENTIST HEALTH CALIFORNIA MEDICAL GROUP, INC.
Authorized official KAYE DONNELLY - (CREDENTIALING COORDINATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 02/11/2009
Last updated 02/11/2009 - About 17 years ago
Identifiers
CA License # C32525
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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