Healthcare Provider Details

I. General information

NPI: 1245809987
Provider Name (Legal Business Name): DANTE DELERME PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2021
Last Update Date: 04/03/2024
Certification Date: 04/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

275 HOSPITAL PKWY STE 625
SAN JOSE CA
95119-1141
US

IV. Provider business mailing address

275 HOSPITAL PKWY STE 625
SAN JOSE CA
95119-1141
US

V. Phone/Fax

Practice location:
  • Phone: 415-491-3000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1300X
TaxonomyPsychiatric Pharmacist
License Number86537
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: