Organization Name: | ADVENTIST HEALTH CALIFORNIA MEDICAL GROUP, INC. |
NPI Number: | 1154467009 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KAYE A. DONNELLY (SPECIALIST CONTRACT COMPLIANCE) |
Mailing Address: | 1001 Adams St Suite 102 Saint Helena |
State: | CA US |
Postal Code: | 945741107 |
Phone Number: | 7079682809 |
Fax Number: | 7079639185 |
NPI Enumeration Date: | 01/29/2007 |
NPI Last Update Date: | 04/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |