Healthcare Provider Details

I. General information

NPI: 1447181441
Provider Name (Legal Business Name): EDUARDO DELGADO CCC-SLP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24515 LINCOLN AVE
MURRIETA CA
92562-5807
US

IV. Provider business mailing address

41870 MCALBY CT
MURRIETA CA
92562-7036
US

V. Phone/Fax

Practice location:
  • Phone: 951-696-1406
  • Fax:
Mailing address:
  • Phone: 951-696-1600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number24337
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: