Specialty Medical Group Central California - Dept of Otolaryngology
NPI #1861673246 in Madera, California
Provider Information
- NPI Number
- 1861673246
- Entity Type
- Organization
- Organization Name
- Specialty Medical Group Central California - Dept of Otolaryngology
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- SPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA, INC.
- Primary Specialty
- Otolaryngology - Pediatric Otolaryngology
- Enumeration Date
- Nov 14, 2007
- Last Updated
- Jun 28, 2013
Practice Location
- Address
- 9300 VALLEY CHILDRENS PL
- Address 2
- SE18
- City
- Madera
- State
- California
- ZIP Code
- 93636-8761
- Phone
- (559) 353-6453
Authorized Official
- Name
- DEVONNA M. KAJI, M.D.
- Title
- PRESIDENT AND MEDICAL DIRECTOR
- Phone
- (559) 353-5016
Specialties & Taxonomy Codes
| Specialty |
|---|
| Otolaryngology |
| Otolaryngology - Pediatric Otolaryngology — Pediatric Otolaryngology |
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