Specialty Medical Group Central California - Dept Of Ophthalmology

LBN: Specialty Medical Group Central California - Dept Of Ophthalmology
Specialty Medical Group Central California - Dept Of Ophthalmology is an health care organization with primary practice located at 9300 Valley Childrens Pl Ge01, Madera CA 93636-8761. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Specialty Medical Group Central California - Dept Of Ophthalmology can be contacted via phone (559) 353-7271, or through Diaz, Ralph P. via phone (559) 353-5016.

Contact Information

Primary practice address
9300 Valley Childrens Pl Ge01 Madera CA 93636-8761
Fax: (559) 353-5426
Website:
Authorized official contact:
Name: Diaz, Ralph P. Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X

Profile Details

NPI number 1952582330
LBN Legal business name Specialty Medical Group Central California - Dept Of Ophthalmology
DBA Doing business as
Authorized official Diaz, Ralph P. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 14th, 2007
Last updated Nov 14th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1952582330 NPPES
California MEDICAID GR0078980

Popular Providers