Healthcare Provider Details

I. General information

NPI: 1689584278
Provider Name (Legal Business Name): ALVARO DELGADO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 W MANCHESTER AVE STE 5
LOS ANGELES CA
90044-5700
US

IV. Provider business mailing address

25108 CYPRESS ST
LOMITA CA
90717-2031
US

V. Phone/Fax

Practice location:
  • Phone: 323-750-9247
  • Fax: 323-750-9248
Mailing address:
  • Phone: 323-750-9247
  • Fax: 323-750-9248

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: