Specialty Medical Group Central California - Dept Of San Luis Obispo

  • 1508182833 NPI Number
  • |
  • Actived: 9 years ago
  • |
According to our database, NPI number for Specialty Medical Group Central California - Dept Of San Luis Obispo is 1508182833 and actived since Monday, April 12 2010. Specialty Medical Group Central California - Dept Of San Luis Obispo is an Organization provider specializes in Pediatrics. Provider information was last updated on 06/28/2013.

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Overview of Specialty Medical Group Central California - Dept Of San Luis Obispo

  • NPI number: 1932755626
  • Provider type: Organization
  • Specialty: Pediatrics
  • Active since: 04/12/2010
  • Last updated: 06/28/2013

Primary Scrop of Practice

  • Taxonomy Code: 208000000X
  • Specialty: Pediatrics
  • License Number: unknow
  • License State: CA

Provider Mailing Address

  • Address: 9300 Valley Childrens Pl
    Madera, CA 93636
  • Phone: 559-353-5700
  • Fax: 559-353-5708

Provider Practice Location

  • Address: 1010 Murray Ave
    San Luis Obispo, CA 93405
  • Phone: 805-546-7766
  • Fax: 805-546-7932

Authorized Official

  • Name: Devonna M. Kaji M.D.
  • Position/Title: President & Medical Director
  • Telephone Number: 559-353-5700

Scope of Practice

  • Taxonomy Code: 208000000X
  • Specialty: Pediatrics
  • License Number:
  • License State: CA
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: ZZZ13884Z
  • Identifier Type: Other
  • Identifier State: CA
  • Issuer: MEDICARE GROUP

Question & Answers

What is the npi number?

  • Q: What is the npi number for Specialty Medical Group Central California - Dept Of San Luis Obispo?
  • A: The npi number for Specialty Medical Group Central California - Dept Of San Luis Obispo is 1508182833.
  • Q: What are Specialty Medical Group Central California - Dept Of San Luis Obispo's specialties?
  • A: Specialty Medical Group Central California - Dept Of San Luis Obispo's specialties are Pediatrics and different specialities.
  • Q: Where is Specialty Medical Group Central California - Dept Of San Luis Obispo business practice location?
  • A: Specialty Medical Group Central California - Dept Of San Luis Obispo business practice location is 1010 Murray Ave, San Luis Obispo, CA 93405.
  • Q: How to contact Specialty Medical Group Central California - Dept Of San Luis Obispo?
  • A: You can contact Specialty Medical Group Central California - Dept Of San Luis Obispo via 805-546-7766.
  • Q: What is the authorized official for Specialty Medical Group Central California - Dept Of San Luis Obispo?
  • A: The authorized office name is Devonna M. Kaji M.D. with position/title is President & Medical Director and you can reach the authorized official via phone number 5593535700.