Specialty Medical Group Central California - Merced Subspecialty

LBN: Specialty Medical Group Central California, Inc.
Specialty Medical Group Central California - Merced Subspecialty is an health care organization with primary practice located at 9300 Valley Childrens Pl , 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, Inc. can be contacted via phone (559) 353-5700, or through Murphy, Jerome via phone (559) 353-5700.

Contact Information

Primary practice address
9300 Valley Childrens Pl Madera CA 93636-8761
Fax: (559) 353-5708
Website:
Authorized official contact:
Name: Murphy, Jerome Doctor of Medicine (MD)

Health care specialties

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

Profile Details

NPI number 1992073209
LBN Legal business name Specialty Medical Group Central California, Inc.
DBA Doing business as Specialty Medical Group Central California - Merced Subspecialty
Authorized official Murphy, Jerome Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 1st, 2011
Last updated Dec 1st, 2011 - about 13 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 1992073209 NPPES
California MEDICAID GR0078680

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