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Organization
SPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA - DEPT OF OPHTHALMOLOGY
Active
Organization
SPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA - DEPT OF OPHTHALMOLOGY
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) 353-5016
Entity
Organization
Contact information
Practice address
9300 VALLEY CHILDRENS PL, GE01, MADERA, CA 93636-8761
(559) 353-7271
(559) 353-5426
Mailing address
9300 VALLEY CHILDRENS PL, MADERA, CA 93636-8761
(559) 353-7271
(559) 353-5426
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
11/14/2007
Last updated
11/14/2007
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