Healthcare Provider Details

I. General information

NPI: 1023120490
Provider Name (Legal Business Name): DELANO SURGICAL GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1205 GARCES HWY SUITE 303
DELANO CA
93215-3639
US

IV. Provider business mailing address

1205 GARCES HWY SUITE 303
DELANO CA
93215-3639
US

V. Phone/Fax

Practice location:
  • Phone: 661-725-4847
  • Fax: 661-725-8051
Mailing address:
  • Phone: 661-725-4847
  • Fax: 661-725-8051

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number StateCA

VIII. Authorized Official

Name: DR. ARA KESHISHIAN
Title or Position: SURGEON
Credential: M.D.
Phone: 661-725-4847