Organization · Type 2 NPI

Adventist Health California Medical Group, Inc.

Cardiovascular Disease Physician · Clearlake, CA

NPI number 1154646982 Active

Practice location

15322 Lakeshore Dr, Suite 203
Clearlake, CA 95422-9814

Call (707) 968-2809 Map

Fax (707) 963-9185

Mailing address

1572 Railroad Ave, Suite 2
St. Helena, CA 94574-1169

Specialties and licenses

TaxonomyCodeLicense
Cardiovascular Disease Physician Primary 207RC0000XC32535 (CA)
Urology Physician 208800000XA106559 (CA)

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

13 other providers at this address

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About NPI 1154646982

Adventist Health California Medical Group, Inc.'s National Provider Identifier is 1154646982, issued on Apr 5, 2010. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Clearlake, CA. The record was last updated on Apr 5, 2010.