Healthcare Provider Details

I. General information

NPI: 1720319155
Provider Name (Legal Business Name): NORTH VALLEY FAMILY PHYSICIANS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2010
Last Update Date: 06/20/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 E ST STE B
WILLIAMS CA
95987-5805
US

IV. Provider business mailing address

501 E ST STE B
WILLIAMS CA
95987-5805
US

V. Phone/Fax

Practice location:
  • Phone: 530-473-5255
  • Fax: 530-473-5996
Mailing address:
  • Phone: 530-473-5255
  • Fax: 530-473-5996

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number0000000393
License Number StateCA

VIII. Authorized Official

Name: DR. JULIAN LAZARO DELGADO
Title or Position: OWNER/PROVIDER
Credential: M.D.
Phone: 530-458-8050