# VALLEY CHILDREN'S SPECIALTY MEDICAL GROUP - PULMONOLOGY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** VALLEY CHILDREN'S SPECIALTY MEDICAL GROUP, INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1629434113
- **Legal business name:** VALLEY CHILDREN'S SPECIALTY MEDICAL GROUP, INC.
- **Authorized official:** DEVONNA KAJI M.D. (PRESIDENT)
- **Authorized official phone:** (559) 353-5700

## Contact information

- **Practice address:** 9300 VALLEY CHILDRENS PL, MADERA, CA 93636-8761
- **Practice address phone:** (559) 353-5550
- **Practice address fax:** (559) 353-5587
- **Mailing address:** 9300 VALLEY CHILDRENS PL, MADERA, CA 93636-8761
- **Mailing address phone:** (559) 353-5550
- **Mailing address fax:** (559) 353-5587

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080P0214X | Pediatric Pulmonology Physician | — | CA | Yes |

## Other

- **Enumeration date:** 01/13/2016
- **Last updated:** 01/13/2016