| Organization Name: | VALLEY CHILDREN'S MEDICAL GROUP - DEPT OF UROLOGY |
| NPI Number: | 1013374586 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL GOLDRING (CHIEF ADMINISTRATIVE OFFICER) |
| Mailing Address: | 9300 Valley Childrens Pl Madera |
| State: | CA US |
| Postal Code: | 936368761 |
| Phone Number: | 5593533000 |
| Fax Number: | |
| NPI Enumeration Date: | 01/28/2016 |
| NPI Last Update Date: | 01/28/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2088P0231X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Urology |
| Taxonomy Specialization: | Pediatric Urology |
| Taxonomy Definition: | Surgeons who can diagnose, treat, and manage children |