Specialty Medical Group Central California Inc - Gastroenterology

LBN: Specialty Medical Group Central California Inc - Gastroenterology
Specialty Medical Group Central California Inc - Gastroenterology 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 / Pediatric Gastroenterology, which is considered as the primary health care specialty. Specialty Medical Group Central California Inc - Gastroenterology can be contacted via phone (559) 353-5746, or through Diaz, Ralph P. via phone (559) 353-5700.

Contact Information

Primary practice address
9300 Valley Childrens Pl Madera CA 93636-8761
Fax: (559) 353-5760
Website:
Authorized official contact:
Name: Diaz, Ralph P. Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X California

Profile Details

NPI number 1952598591
LBN Legal business name Specialty Medical Group Central California Inc - Gastroenterology
DBA Doing business as
Authorized official Diaz, Ralph P. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 27th, 2007
Last updated Sep 27th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952598591 NPPES
California MEDICAID GR0078684

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