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18990 Coyote Valley Rd Suite 8 Hidden Valley Lake CA 95467-8337 | |
(707) 987-8344 | |
(707) 987-8395 |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 18990 Coyote Valley Rd, Hidden Valley Lake, California |
Authorized Official Name and Position | Adrian Serna (CFO) |
Authorized Official Contact | 9164060087 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 888794 Los Angeles CA 90088-3804 Ph: () - | 18990 Coyote Valley Rd Suite 8 Hidden Valley Lake CA 95467-8337 Ph: (707) 987-8344 |
NPI Number | 1538409818 |
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Provider Enumeration Date | 02/22/2013 |
Last Update Date | 01/14/2022 |
Identifier | Type | State | Issuer |
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1538409818 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Adventist Health California Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18990 Coyote Valley Rd, Suite 10, Hidden Valley Lake, CA 95467 Phone: 707-987-8344 Fax: 707-987-8395 | |
Adventist Health California Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18990 Coyote Valley Rd, Suite 5, Hidden Valley Lake, CA 95467 Phone: 707-987-9024 Fax: 707-987-9152 |