Lake Silverado Cardiovascular Consultants

Organization Active NPI Specialist · Saint Helena, CA

NPI 1962548735 · NPPES record last updated May 19, 2008

Key facts

NPI
1962548735
Entity type
Organization (NPI type 2)
Primary specialty
Specialist 174400000X
License
A45408 (CA)
Legal business name
LAKE SILVERADO CARDIOVASCULAR CONSULTANTS
Practice address
6 Woodland Rd
Ste 307
Saint Helena, CA 94574-9501
Phone
(707) 995-7077
Fax
(707) 995-0904
NPI assigned
Jan 29, 2007
Organization subpart
No

Authorized official

Name
Mrs. Colleen Bradrick
Title
Medical Biller
Phone
(707) 995-7077

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Lake Silverado Cardiovascular Consultants (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
174400000X A45408 CA Yes

Addresses

Primary practice location

6 Woodland Rd
Ste 307
Saint Helena, CA 94574-9501

Mailing address

PO Box 6017
Clearlake, CA 95422-6017
Phone (707) 995-7077

Other providers in Saint Helena, CA

All providers in Saint Helena, CA · Specialist in California

Sources for this page

Verify at the official NPI Registry.