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Contact Information

ADVENTIST HEALTH CALIFORNIA MEDICAL GROUP, INC.
18990 COYOTE VALLEY ROAD
SUITE 8
HIDDEN VALLEY LAKE, CA95467
 Phone: 707-987-8395
 Fax: 707-987-8402
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for ADVENTIST HEALTH CALIFORNIA MEDICAL GROUP, INC.

NPI Number 1982730800
LBN Legal business name ADVENTIST HEALTH CALIFORNIA MEDICAL GROUP, INC.
Authorized official BRUCE ANDERSON - (PRESIDNET)
Entity Organization
Organization subpart 1 No
Enumeration date 02/26/2007
Last updated 08/22/2020 - About 6 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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