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Contact Information

SPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA - DEPT OF UROLOGY
9300 VALLEY CHILDRENS PL
MB16
MADERA, CA93636-8761
 Phone: 559-353-6195
 Fax: 559-353-6196
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Urology

2088P0231X 34 Physician/Urology
Indicates primary specialty

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

NPI # 1306029285
LBN Legal business name SPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA - DEPT OF UROLOGY
Authorized official RALPH DIAZ - (PRESIDENT AND MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 12/13/2007
Last updated 12/13/2007 - About 18 years ago
Identifiers
CA Medicaid GR007868L
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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