Specialty Medical Group Central California - Dept Of Medicine in Madera - Pediatrics

Specialty Medical Group Central California - Dept Of Medicine - NPI 1235310616

Specialty Medical Group Central California - Dept Of Medicine is a Pediatrics in Madera, California. Specialty Medical Group Central California - Dept Of Medicine practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Specialty Medical Group Central California - Dept Of Medicine is 1235310616. The last update date is 2013-06-28.

Specialty Medical Group Central California - Dept Of Medicine's current location address is 9300 Valley Childrens Pl, Madera, California. You can contact this provider via phone number 5593536425 and fax number 5593536441. The mailing address for Specialty Medical Group Central California - Dept Of Medicine 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 Medicine
Address 9300 Valley Childrens Pl, Madera, California
Phone Number 5593536425
Fax Number 5593536441
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Kaji M. Devonna
Credentials M.D.
Telephone Number 5593535700

NPI Number Detail

NPI Number 1235310616
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 5593536425
Fax Number 5593536441

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1013968296 CA SMG MAIN NPI NUMBER
GR0078688 CA --

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FAQs about Specialty Medical Group Central California - Dept Of Medicine

What is the unique 10-digit identifier code assigned to Specialty Medical Group Central California - Dept Of Medicine by the Centers for Medicare & Medicaid Services?

The Specialty Medical Group Central California - Dept Of Medicine has been issued the NPI (National Provider Identifier) 1235310616 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Where is the Specialty Medical Group Central California - Dept Of Medicine located?

The Specialty Medical Group Central California - Dept Of Medicine is located at 9300 Valley Childrens Pl, Madera, CA 936368761.

What is Specialty Medical Group Central California - Dept Of Medicine's specialized field of practice, and what is the corresponding taxonomy classification code?

The Specialty Medical Group Central California - Dept Of Medicine's area of specialization is Pediatrics, and the corresponding taxonomy code that categorizes this field of practice is 208000000X.

On what date did Specialty Medical Group Central California - Dept Of Medicine receive its 1235310616 assignment from the Centers for Medicare & Medicaid Services?

The Specialty Medical Group Central California - Dept Of Medicine was assigned its 1235310616 on 2007-11-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Specialty Medical Group Central California - Dept Of Medicine, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Specialty Medical Group Central California - Dept Of Medicine, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-06-28.

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