Specialty Medical Group Central California - Dept of Rheumatology

NPI #1316120298 in Madera, California

Provider Information

NPI Number
1316120298
Entity Type
Organization
Organization Name
Specialty Medical Group Central California - Dept of Rheumatology
Subpart
Yes (part of a larger organization)
Parent Organization
SPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA, INC.
Primary Specialty
Pediatrics - Pediatric Rheumatology
Enumeration Date
Dec 13, 2007
Last Updated
Dec 13, 2007

Practice Location

Address
9300 VALLEY CHILDRENS PL
Address 2
GE10
City
Madera
ZIP Code
93636-8761
Phone
(559) 353-6450

Authorized Official

Name
RALPH P. DIAZ, M.D.
Title
PRESIDENT AND MEDICAL DIRECTOR
Phone
(559) 353-5700

Specialties & Taxonomy Codes

Specialty
Pediatrics - Pediatric RheumatologyPediatric Rheumatology

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