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Organization

SPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA INC - DEPT OF ONCOLOGY

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, MADERA, CA 93636-8761
(559) 353-5480
(559) 353-5490
Mailing address
9300 VALLEY CHILDRENS PL, MADERA, CA 93636-8761
(559) 353-5480
(559) 353-5490

Taxonomy

Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GR007868C
CA
Enumeration date
09/27/2007
Last updated
09/27/2007
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