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NPI Code Detail

MEDICARE: DR. JOSE DAVID DELGADO MD

MEDICARE: DR. JOSE DAVID DELGADO MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician207QA43559CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013931179
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSE DAVID DELGADO MD
Provider Business Mailing Address
First Line : 5240 E BEVERLY BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90022-2002
Country : US
Telephone Number : 323-727-9936
Fax Number : 323-725-0155
Provider Business Practice Location Address
First Line : 5240 E. BEVERLY BLVD.
Second Line :
City : LOS ANGELES
State : CA
Zip : 90022-2002
Country : US
Telephone Number : 323-727-9936
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2006
Last Update Date : 07/11/2008

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Directions to “ DR. JOSE DAVID DELGADO MD” Practice Location

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