| Adventist Health California Medical Group, Inc. | |
|
18990 Coyote Valley Road Suite 8 Hidden Valley Lake CA 95467 | |
| (707) 987-8344 | |
| (707) 987-8395 |
| Full Name | Adventist Health California Medical Group, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 18990 Coyote Valley Road, Hidden Valley Lake, 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. 18990 Coyote Valley Road Suite 8 Hidden Valley Lake CA 95467 Ph: (707) 987-8344 |
| NPI Number | 1154571636 |
|---|---|
| Provider Enumeration Date | 09/22/2008 |
| Last Update Date | 09/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154571636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | G88201 (California) | Primary |
Reunion Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 17664 Greenridge Rd, Hidden Valley Lake, CA 95467 Phone: 925-324-6030 |