Specialty Medical Group Central California - Dept of Urology
NPI #1306029285 in Madera, California
Provider Information
- NPI Number
- 1306029285
- Entity Type
- Organization
- Organization Name
- Specialty Medical Group Central California - Dept of Urology
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- SPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA INC.
- Primary Specialty
- Urology - Pediatric Urology
- Enumeration Date
- Dec 13, 2007
- Last Updated
- Dec 13, 2007
Practice Location
- Address
- 9300 VALLEY CHILDRENS PL
- Address 2
- MB16
- City
- Madera
- State
- California
- ZIP Code
- 93636-8761
- Phone
- (559) 353-6195
Authorized Official
- Name
- RALPH DIAZ, M.D.
- Title
- PRESIDENT AND MEDICAL DIRECTOR
- Phone
- (559) 353-5700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Urology - Pediatric Urology — Pediatric Urology |
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