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Organization
SPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA - DEPT OF RHEUMATOLOGY
Active
Organization
SPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA - DEPT OF RHEUMATOLOGY
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
RALPH P. DIAZ M.D. (PRESIDENT AND MEDICAL DIRECTOR)
(559) 353-5700
Entity
Organization
Contact information
Practice address
9300 VALLEY CHILDRENS PL, GE10, MADERA, CA 93636-8761
(559) 353-6450
(559) 353-7214
Mailing address
9300 VALLEY CHILDRENS PL, GE10, MADERA, CA 93636-8761
(559) 353-6450
(559) 353-7214
Taxonomy
Speciality
Code
Description
License number
State
2080P0216X
Pediatric Rheumatology Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR007868K
—
CA
Enumeration date
12/13/2007
Last updated
12/13/2007
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