Adventist Health California Medical Group, Inc
Adventist Health California Medical Group, Inc provides Cardiovascular Disease Physician services in Clearlake, California. Licensed in California. Registered with an NPI since 2010.
- Licensed in
- CA
- In the registry since
- 2010
- Specialties on file
- 2
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
15322 Lakeshore Dr Ste 203Clearlake, CA 95422-9814 Not confirmed with CMS for 16 years — call before visiting
Phone: (707) 968-2809
Fax: (707) 963-9185
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Cardiovascular Disease Physician (primary) | Taxonomy 207RC0000X · Licence C32535 (CA) |
|---|---|
| Urology Physician | Taxonomy 208800000X · Licence A106559 (CA) |
Record details
| NPI number | 1154646982 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kaye Donnelly — Credentialing Coordinator · (707) 968-2809 |
| NPI enumerated | April 5, 2010 |
| Last updated in NPPES | April 5, 2010 |
| Mailing address | 1572 Railroad Ave, Suite 2, Saint Helena, CA 94574-1169 |
Other providers in Clearlake
-
Adventist Health California Medical Group, Inc
15250 Lakeshore Dr Ste C, Clearlake, CA 95422-8107 · (707) 995-3764
-
Adventist Health Physicians Network
15322 Lakeshore Dr Ste 201, Clearlake, CA 95422-9814 · (707) 995-3764
-
Adventist Health Physicians Network
15230 Lakeshore Dr, Clearlake, CA 95422-8107 · (707) 995-4500
-
Dr. Ilkyoon Kim, MD
15666 18th Ave, Clearlake, CA 95422 · (707) 994-4210