Healthcare Provider Details

I. General information

NPI: 1982533048
Provider Name (Legal Business Name): CLAUDIA DELUCIO PPS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34875 TAHOE DR
YUCAIPA CA
92399-3333
US

IV. Provider business mailing address

35912 AVENUE H
YUCAIPA CA
92399-5206
US

V. Phone/Fax

Practice location:
  • Phone: 909-790-3285
  • Fax:
Mailing address:
  • Phone: 909-790-8550
  • Fax: 909-790-8541

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: