Specialty Medical Group Central California - Dept Of Neurosurgery

LBN: Specialty Medical Group Central California - Dept Of Neurosurgery
Specialty Medical Group Central California - Dept Of Neurosurgery is an health care organization with primary practice located at 9300 Valley Childrens Pl Ge07, Madera CA 93636-8761. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurological Surgery, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Neurological Surgery is the primary health care specialty. Specialty Medical Group Central California - Dept Of Neurosurgery can be contacted via phone (559) 353-6277, or through Kaji, Devonna M. via phone (559) 353-5700.

Contact Information

Primary practice address
9300 Valley Childrens Pl Ge07 Madera CA 93636-8761
Fax: (559) 353-5424
Website:
Authorized official contact:
Name: Kaji, Devonna M. Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X California

Profile Details

NPI number 1508047986
LBN Legal business name Specialty Medical Group Central California - Dept Of Neurosurgery
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 1508047986 NPPES
California MEDICAID GR007868F
California Other 1013968296

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