| Adventist Health California Medical Group, Inc. | |
|
15230 Lakeshore Dr Clearlake CA 95422-8107 | |
| (707) 995-4500 | |
| (707) 994-2401 |
| Full Name | Adventist Health California Medical Group, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 15230 Lakeshore Dr, Clearlake, California |
| Authorized Official Name and Position | Kaye A Donnelly (COORDINATOR) |
| Authorized Official Contact | 7079682809 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adventist Health California Medical Group, Inc. 10 Woodland Rd Suite 502 Saint Helena CA 94574-9554 Ph: (707) 963-1882 | Adventist Health California Medical Group, Inc. 15230 Lakeshore Dr Clearlake CA 95422-8107 Ph: (707) 995-4500 |
| NPI Number | 1427209097 |
|---|---|
| Provider Enumeration Date | 10/01/2008 |
| Last Update Date | 10/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427209097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
Lake County Community Action Agency Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6840 S Center Dr, Clearlake, CA 95422 Phone: 707-995-1232 Fax: 707-995-7084 | |
Lake County Community Action Agency Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 15850 A Dam Road, Clearlake, CA 95422 Phone: 707-994-6447 Fax: 707-994-1875 | |
County Of Lake Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 7000b S Center Dr, Clearlake, CA 95422 Phone: 707-994-7090 Fax: 707-994-7092 | |
County Of Lake Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14092 Lakeshore Dr, Clearlake, CA 95422 Phone: 707-994-4261 | |
County Of Lake Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7000b S Center Dr, Clearlake, CA 95422 Phone: 707-994-7090 Fax: 707-994-7092 | |
Lake County Community Action Agency Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6885 Old Highway 53, Clearlake, CA 95422 Phone: 707-995-3235 Fax: 707-995-7004 |