Organization
SPECIALTY MEDICAL GROUP - DEPT OF PERINATOLOGY
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
DEVONNA KAJI M.D. (PRESIDENT)
(559) 353-5700
Entity
Organization
Contact information
Practice address
9300 VALLEY CHILDRENS PL, MAILSTOP FC25, MADERA, CA 93636-8761
(559) 353-6700
(559) 353-6710
Mailing address
9300 VALLEY CHILDRENS PL, MAILSTOP FC25, MADERA, CA 93636-8761
(559) 353-6700
(559) 353-6710
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013968296
—
CA
Enumeration date
04/02/2012
Last updated
04/02/2012
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