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General NPI Number Information
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NPI Number | 1962361105
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Entity Type | Organization
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Legal Business Name | DEL RE MEDICAL CORP
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Dates
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Enumeration Date | 01/21/2026
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | 9333 GENESEE AVE STE 250
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City | SAN DIEGO
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State | CA
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Zip | 92121-2139
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Country | US
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Telephone | 858-215-1144
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Fax | 760-257-1951
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Provider Business Mailing Address
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Address Line | 315 S COAST HIGHWAY 101 STE U148
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City | ENCINITAS
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State | CA
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Zip | 92024-3543
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Country | US
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Telephone | 843-834-0100
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN/DIRECTOR/OWNER
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Name | DR. ANGELO MICHAEL DEL RE
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Credential | MD
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Telephone | 843-834-0100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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