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
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 OtolaryngologyPediatric Otolaryngology

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