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VALLEY CHILDREN'S SPECIALTY MEDICAL GROUP - DEPT OF DERMATOLOGY NPI 1447620539


NPI Information

NPI: 1447620539
Provider Name: VALLEY CHILDREN'S SPECIALTY MEDICAL GROUP - DEPT OF DERMATOLOGY
Classification: Dermatology - 207NP0225X
Entity Type: Organization

Specialization: Pediatric Dermatology

Address:
9300 VALLEY CHILDRENS PL
MADERA, CA
ZIP 93636
Phone: (559) 353-5700
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VALLEY CHILDREN'S SPECIALTY MEDICAL GROUP - DEPT OF DERMATOLOGY is a pediatric dermatology dermatology in Madera, CA. The provider is a pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents. VALLEY CHILDREN'S SPECIALTY MEDICAL GROUP - DEPT OF DERMATOLOGY NPI is 1447620539. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9300 VALLEY CHILDRENS PL
MADERA, CA
ZIP 93636-761
Phone: (559) 353-5700
Fax: (559) 353-5708

The provider's authorized official is Devonna Kaji .
The authorized official title is President and has the following contact phone number (559) 353-5700.

The enumeration date for this NPI number is 10/1/2015 and was last updated on 10/1/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207NP0225XDermatologyPediatric DermatologyCALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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