Healthcare Provider Details

I. General information

NPI: 1588824254
Provider Name (Legal Business Name): DELANO SURGICAL GROUP, A PROFESSIONAL MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2008
Last Update Date: 10/21/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1205 GARCES HIWAY SUITE 303
DELANO CA
93215-3659
US

IV. Provider business mailing address

1205 GARCES HIWAY SUITE 303
DELANO CA
93215-3659
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 Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License NumberG75855
License Number StateCA

VIII. Authorized Official

Name: KARIM ZAHRIYA
Title or Position: SOLE PROPRIETOR
Credential: MD
Phone: 661-725-4847