Healthcare Provider Details

I. General information

NPI: 1306402474
Provider Name (Legal Business Name): DELANO WOMEN'S IMAGING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2019
Last Update Date: 05/14/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1311 JEFFERSON ST STE B
DELANO CA
93215-2205
US

IV. Provider business mailing address

1311 JEFFERSON ST
DELANO CA
93215-2205
US

V. Phone/Fax

Practice location:
  • Phone: 661-721-3510
  • Fax: 661-721-0562
Mailing address:
  • Phone: 661-721-3510
  • Fax: 661-721-0562

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0206X
TaxonomyMammography Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. NADER ALSHEIKH
Title or Position: CHIEF LEGAL OFFICER
Credential:
Phone: 661-717-2133