Healthcare Provider Details

I. General information

NPI: 1457735789
Provider Name (Legal Business Name): DELPHINE ENGEL MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2015
Last Update Date: 05/13/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1441 CONSTITUTION BLVD
SALINAS CA
93906-3100
US

IV. Provider business mailing address

25050 AVENUE KEARNY SUITE 208
VALENCIA CA
91355-1257
US

V. Phone/Fax

Practice location:
  • Phone: 831-755-4111
  • Fax:
Mailing address:
  • Phone: 661-430-0940
  • Fax: 661-295-0862

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberA97052
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License NumberA97052
License Number StateCA

VIII. Authorized Official

Name: DR. DELPHINE ENGEL
Title or Position: PRESIDENT
Credential: M.D.
Phone: 718-415-5301