Specialty Medical Group Central California - Dept Of Surgery
LBN: Specialty Medical Group Central California - Dept Of Surgery
Specialty Medical Group Central California - Dept Of Surgery 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 / Surgery, Allopathic & Osteopathic Physicians / Pediatric Surgery. Allopathic & Osteopathic Physicians / Pediatric Surgery is the primary health care specialty.
Specialty Medical Group Central California - Dept Of Surgery can be contacted via phone (559) 353-7290, 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) 353-7290
Fax: (559) 353-7286
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | California | |
| Allopathic & Osteopathic Physicians / Pediatric Surgery | 2086S0120X | California |
Profile Details
| NPI number | 1851574735 |
|---|---|
| LBN Legal business name | Specialty Medical Group Central California - Dept Of Surgery |
| DBA Doing business as | |
| Authorized official | Diaz, Ralph P. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Dec 13th, 2007 |
| Last updated | Dec 13th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851574735 | NPPES |
| California | MEDICAID | GR007868M |
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