Central California Neonatology Group, INC
Pediatrics, Neonatal-Perinatal Medicine in Madera, CA. Organization (NPI-2).
NPI number1114280930
StatusActive
Last updated in NPPESJun 18, 2012
Details
- NPI
- 1114280930
- Entity type
- Organization (NPI-2)
- Legal business name
- Central California Neonatology Group, INC
- Organization subpart
- No
- Enumeration date
- Jun 18, 2012
- Last updated
- Jun 18, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080N0001X | Pediatrics, Neonatal-Perinatal Medicine | – | – | Yes |
Practice location
9300 Valley Childrens PlMadera, CA 93636-8761
Phone 559-353-3000
Mailing address
3116 W March LnSuite 200
Stockton, CA 95219-2369
Phone 209-473-6555 · Fax 209-473-6544
Authorized official
Chetan A. Patel
President
5593533000
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