Healthcare Provider Details

I. General information

NPI: 1972183838
Provider Name (Legal Business Name): MARTHA DELGADO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2021
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1520 SAN PABLO ST STE 1000
LOS ANGELES CA
90033
US

IV. Provider business mailing address

1520 SAN PABLO ST STE 1000
LOS ANGELES CA
90033
US

V. Phone/Fax

Practice location:
  • Phone: 800-872-2273
  • Fax:
Mailing address:
  • Phone: 800-872-2273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberA195155
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: