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SPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA INC - DEPT OF ENDOCRINOLOGY
9300 VALLEY CHILDRENS PL
MADERA, CA93636-8761
 Phone: 559-353-6600
 Fax: 559-353-6612
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Endocrinology

2080P0205X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for SPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA INC - DEPT OF ENDOCRINOLOGY

NPI # 1043407687
LBN Legal business name SPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA INC - DEPT OF ENDOCRINOLOGY
Authorized official RALPH DIAZ - (PRESIDENT AND MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 09/27/2007
Last updated 09/27/2007 - About 19 years ago
Identifiers
CA Medicaid GR0078683
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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