Healthcare Provider Details

I. General information

NPI: 1700281243
Provider Name (Legal Business Name): MARIA DELGADO ALGARIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/27/2014
Last Update Date: 10/27/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 UNIVERSITY AVE STE 400
RIVERSIDE CA
92501-3264
US

IV. Provider business mailing address

769 W BLAINE ST
RIVERSIDE CA
92507-3970
US

V. Phone/Fax

Practice location:
  • Phone: 951-318-7386
  • Fax:
Mailing address:
  • Phone: 951-358-4705
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: