Healthcare Provider Details

I. General information

NPI: 1972149664
Provider Name (Legal Business Name): CLAUDIA DELGADO PALACIO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CLAUDIA MATUS

II. Dates (important events)

Enumeration Date: 11/18/2019
Last Update Date: 04/28/2025
Certification Date: 04/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1911 WILLIAMS DR STE 165
OXNARD CA
93036-2612
US

IV. Provider business mailing address

9042 COSTELLO AVE
PANORAMA CITY CA
91402-1916
US

V. Phone/Fax

Practice location:
  • Phone: 805-981-4233
  • Fax:
Mailing address:
  • Phone: 747-308-8234
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: