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Organization
SPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA INC. - DEPT OF NEUROLOGY
Active
Organization
SPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA INC. - DEPT OF NEUROLOGY
Active
Parent organization
SPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA INC
Authorized official
DEVONNA M. KAJI M.D. (PRESIDENT / MEDICAL DIRECTOR)
(559) 353-5700
Entity
Organization
Contact information
Practice address
9300 VALLEY CHILDRENS PL, MB20, MADERA, CA 93636-8761
(559) 353-6215
(559) 353-6222
Mailing address
9300 VALLEY CHILDRENS PL, MB20, MADERA, CA 93636-8761
(559) 353-6215
(559) 353-6222
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
CA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013968296
SMG GENERAL GROUP NPI
CA
05
—
GR0078689
—
CA
Enumeration date
11/01/2007
Last updated
06/28/2013
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