Specialty Medical Group Central California - Dept Of Otolaryngology in Madera - Otolaryngology
Specialty Medical Group Central California - Dept Of Otolaryngology - NPI 1861673246
Specialty Medical Group Central California - Dept Of Otolaryngology is a Otolaryngology in Madera, California. Specialty Medical Group Central California - Dept Of Otolaryngology practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Specialty Medical Group Central California - Dept Of Otolaryngology is 1861673246. The last update date is 2013-06-28.
Specialty Medical Group Central California - Dept Of Otolaryngology's current location address is 9300 Valley Childrens Pl, Madera, California. You can contact this provider via phone number 5593536453 and fax number 5593536457. The mailing address for Specialty Medical Group Central California - Dept Of Otolaryngology is 9300 Valley Childrens Pl, Madera, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Specialty Medical Group Central California - Dept Of Otolaryngology |
|---|---|
| Address | 9300 Valley Childrens Pl, Madera, California |
| Phone Number | 5593536453 |
| Fax Number | 5593536457 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Kaji M. Devonna |
| Credentials | M.D. |
| Telephone Number | 5593535016 |
NPI Number Detail
| NPI Number | 1861673246 |
|---|---|
| Provider Enumeration Date | 2007-11-14 |
| Last Updated Date | 2013-06-28 |
Provider Mailing Address Detail
| Address | 9300 Valley Childrens Pl |
|---|---|
| City | Madera |
| State | California (CA) |
| Post Code | 936368761 |
| Phone Number | 5593536453 |
| Fax Number | 5593536457 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
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Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GR007868J | CA | -- | |
| 1013968296 | CA | SMG GENERAL GROUP NPI NUMBER |
Post Comment/ Review Below
What is the Specialty Medical Group Central California - Dept Of Otolaryngology's unique identification number?
The Specialty Medical Group Central California - Dept Of Otolaryngology has been assigned the NPI (National Provider Identifier) Number 1861673246 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Specialty Medical Group Central California - Dept Of Otolaryngology?
The Specialty Medical Group Central California - Dept Of Otolaryngology is situated at 9300 Valley Childrens Pl, in the city of Madera, state of CA, with the zip code 936368761.
What is the Specialty Medical Group Central California - Dept Of Otolaryngology's specialty and taxonomy code?
The Specialty Medical Group Central California - Dept Of Otolaryngology's specialty is Otolaryngology, and the corresponding taxonomy code is 207Y00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1861673246 to Specialty Medical Group Central California - Dept Of Otolaryngology?
The Specialty Medical Group Central California - Dept Of Otolaryngology received its 1861673246 assignment from the Centers for Medicare & Medicaid Services on 2007-11-14.
When was the information pertaining to Specialty Medical Group Central California - Dept Of Otolaryngology most recently updated or revised?
The details related to Specialty Medical Group Central California - Dept Of Otolaryngology, including its address, specialty, and other relevant information, were last updated or revised on 2013-06-28.