Healthcare Provider Details

I. General information

NPI: 1801707278
Provider Name (Legal Business Name): JENNIFER CAROLINA DELGADILLO TCH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1145 E COMPTON BLVD
COMPTON CA
90221-3307
US

IV. Provider business mailing address

1145 E COMPTON BLVD
COMPTON CA
90221-3307
US

V. Phone/Fax

Practice location:
  • Phone: 310-637-5555
  • Fax: 310-637-5556
Mailing address:
  • Phone: 310-637-5555
  • Fax: 310-637-5556

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number187829
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: