SPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA - DEPT OF MODESTO

MODESTO, CA
NPI1083858492
Entity TypeOrganization
Authorized ContactDEVONNA M. KAJI
President/Medical Director
559-353-5700
Organization Subpart ?Yes
Primary Taxonomy208000000X Pediatrics
Enumeration Date2009-04-29
Last Update Date2013-06-28
Business Address
SPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA - DEPT OF MODESTO
1524 MCHENRY AVE 570
MODESTO, CA 95350-4500
Phone number: 209-572-3880
Mailing Address
SPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA - DEPT OF MODESTO
9300 VALLEY CHILDRENS PL
MADERA, CA 93636-8761
Phone number: 559-353-5700
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