MEDICARE: DR. MARIA REGINA ABESA DELOZIER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	A124305	CA

General Provider Information

NPI Number	:	1497071443
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARIA REGINA ABESA DELOZIER M.D.

Provider Business Mailing Address
First Line	:	393 E WALNUT ST
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91188-0001
Country	:	US
Telephone Number	:	619-464-6434
Fax Number	:	619-464-5109

Provider Business Practice Location Address
First Line	:	6911 CONVOY CT DEPT OF
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92111-1014
Country	:	US
Telephone Number	:	619-528-5000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/15/2010
Last Update Date	:	06/12/2023

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