Specialty Medical Group Central California - Dept Of Otolaryngology
LBN: Specialty Medical Group Central California - Dept Of Otolaryngology
Specialty Medical Group Central California - Dept Of Otolaryngology is an health care organization with primary practice located at 9300 Valley Childrens Pl Se18, Madera CA 93636-8761. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Pediatric Otolaryngology. Allopathic & Osteopathic Physicians / Pediatric Otolaryngology is the primary health care specialty.
Specialty Medical Group Central California - Dept Of Otolaryngology can be contacted via phone (559) 353-6453, or through Kaji, Devonna M. via phone (559) 353-5016.
Contact Information
Primary practice address
9300 Valley Childrens Pl Se18
Madera CA 93636-8761
Phone: (559) 353-6453
Fax: (559) 353-6457
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | California | |
| Allopathic & Osteopathic Physicians / Pediatric Otolaryngology | 207YP0228X | California |
Profile Details
| NPI number | 1861673246 |
|---|---|
| LBN Legal business name | Specialty Medical Group Central California - Dept Of Otolaryngology |
| 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 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861673246 | NPPES |
| California | MEDICAID | GR007868J | |
| California | Other | 1013968296 |
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