Organization
SPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA INC - GASTROENTEROLOGY
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) 353-5746
(559) 353-5760
Mailing address
9300 VALLEY CHILDRENS PL, MADERA, CA 93636-8761
(559) 353-5746
(559) 353-5760
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0078684
—
CA
Enumeration date
09/27/2007
Last updated
09/27/2007
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