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Organization
SPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA - DEPT OF INTERNAL MEDICINE
Active
Organization
SPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA - DEPT OF INTERNAL MEDICINE
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/MEDICAL DIRECTOR)
(559) 353-5700
Entity
Organization
Contact information
Practice address
9300 VALLEY CHILDRENS PL, MADERA, CA 93636-8761
(559) 353-5068
(559) 353-5426
Mailing address
9300 VALLEY CHILDRENS PL, MADERA, CA 93636-8761
(559) 353-5068
(559) 353-5426
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
208M00000X
Hospitalist Physician
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR007868E
—
CA
Enumeration date
11/14/2007
Last updated
11/14/2007
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