Specialty Medical Group Central California - Dept Of Genetics

LBN: Specialty Medical Group Central California - Dept Of Genetics
Specialty Medical Group Central California - Dept Of Genetics is an health care organization with primary practice located at 9300 Valley Childrens Pl , Madera CA 93636-8761. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) is the primary health care specialty. Specialty Medical Group Central California - Dept Of Genetics can be contacted via phone (559) 353-6400, or through Diaz, Ralph P. via phone (559) 353-5700.

Contact Information

Primary practice address
9300 Valley Childrens Pl Madera CA 93636-8761
Phone: (559) 353-6400
Fax: (559) 353-7213
Website:
Map and Directions
Authorized official contact:
Name: Diaz, Ralph P. Doctor of Medicine (MD)
Phone: (559) 353-5700

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X California

Profile Details

NPI number 1306033949
LBN Legal business name Specialty Medical Group Central California - Dept Of Genetics
DBA Doing business as
Authorized official Diaz, Ralph P. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 27th, 2007
Last updated Sep 27th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306033949 NPPES
California MEDICAID GR0078685

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