Specialty Medical Group Central California - Dept Of Medicine

LBN: Specialty Medical Group Central California - Dept Of Medicine
Specialty Medical Group Central California - Dept Of Medicine is an health care organization with primary practice located at 9300 Valley Childrens Pl Mb01, Madera CA 93636-8761. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Specialty Medical Group Central California - Dept Of Medicine can be contacted via phone (559) 353-6425, or through Kaji, Devonna M. via phone (559) 353-5700.

Contact Information

Primary practice address
9300 Valley Childrens Pl Mb01 Madera CA 93636-8761
Phone: (559) 353-6425
Fax: (559) 353-6441
Website:
Map and Directions
Authorized official contact:
Name: Kaji, Devonna M. Doctor of Medicine (MD)
Phone: (559) 353-5700

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X California

Profile Details

NPI number 1235310616
LBN Legal business name Specialty Medical Group Central California - Dept Of Medicine
DBA Doing business as
Authorized official Kaji, Devonna M. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 14th, 2007
Last updated Jun 28th, 2013 - about 11 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 1235310616 NPPES
California Other 1013968296 SMG MAIN NPI NUMBER
California MEDICAID GR0078688 SMG MAIN NPI NUMBER

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