MEDICARE: MR. DELRAY PHILLIPS

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
1	225700000X	Massage Therapist	55196	CA

General Provider Information

NPI Number	:	1053993212
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DELRAY PHILLIPS

Provider Business Mailing Address
First Line	:	130 W IVY ST
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92101-1916
Country	:	US
Telephone Number	:	773-895-2330
Fax Number	:

Provider Business Practice Location Address
First Line	:	130 W IVY ST
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92101-1916
Country	:	US
Telephone Number	:	773-895-2330
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/26/2021
Last Update Date	:	04/26/2021

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1720420029 — HELENA HYEONMI CHOE LAC.
Practice Location Address:

1916 30TH ST
SAN DIEGO, CA
92102-1106

Practice Phone: 619-808-3198
Practice Fax:

1336681907 — WILLOW ACUPUNCTURE CLINIC
Practice Location Address:

1916 30TH ST
SAN DIEGO, CA
92102-1106

Practice Phone: 619-808-3198
Practice Fax:

1063163905 — IRENE'S HOME LLC
Practice Location Address:

1916 SOUTH 43RD ST
SAN DIEGO, CA
92113

Practice Phone: 619-538-7599
Practice Fax: 619-393-0448

1376241596 — CIARRA MOSBY
Practice Location Address:

4304 OCEAN VIEW BLVD
SAN DIEGO, CA
92113-1916

Practice Phone: 619-823-6508
Practice Fax:

1447192638 — THE GARDENS AT SAN CARLOS
Practice Location Address:

4553 E SAN CARLOS PL S
TUCSON, AZ
85712-1916

Practice Phone: 757-567-1150
Practice Fax:

Directions to “ MR. DELRAY PHILLIPS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.