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Organization

SPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA, INC.

Active
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Organization

SPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA, INC.

Active
Parent organization
SPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA, INC.
Other names
Specialty Medical Group Central California - Merced Subspecialty
Organization subpart
Yes

Provider details

NPI number
Legal business name
SPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA, INC.
Authorized official
JEROME MURPHY M.D. (PRESIDENT)
(559) 353-5700
Entity
Organization

Contact information

Practice address
9300 VALLEY CHILDRENS PL, MADERA, CA 93636-8761
(559) 353-5700
(559) 353-5708
Mailing address
9300 VALLEY CHILDRENS PL, MADERA, CA 93636-8761
(559) 353-5700
(559) 353-5708

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GR0078680
CA
Enumeration date
12/01/2011
Last updated
12/01/2011
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