Organization · Type 2 NPI

Adventist Health Physician Network

Family Medicine Physician · Clearlake, CA

NPI number 1023315116 Active

Practice location

15322 Lakeshore Dr, Suite 202
Clearlake, CA 95422-9814

Call (707) 994-0305 Map

Mailing address

1001 Adams St
St. Helena, CA 94574-1107

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

13 other providers at this address

Other family medicine physician providers in Clearlake

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NPI record

NPI: 1023315116
Entity type: Organization (Type 2)
Issued: Feb 25, 2011
Last updated: Jun 8, 2011
Status: Active
Subpart: Yes of Adventist Health Physician Network

Other names

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St. Helena Family Practice Clearlake · doing business as

Authorized official

Jeff Conklin
President
(916) 789-4209

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1023315116

Adventist Health Physician Network's National Provider Identifier is 1023315116, issued on Feb 25, 2011. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Clearlake, CA. The record was last updated on Jun 8, 2011.