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NPI Code Detail

MEDICARE: MRS. DENISE DELGADO

MEDICARE: MRS. DENISE DELGADO
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
1106H00000XMarriage & Family Therapist138700CA
2101YM0800XMental Health Counselor106966CA

General Provider Information

NPI Number : 1497106058
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DENISE DELGADO
Provider Business Mailing Address
First Line : 13800 HEACOCK ST STE C220
Second Line :
City : MORENO VALLEY
State : CA
Zip : 92553-3363
Country : US
Telephone Number : 951-653-1800
Fax Number :
Provider Business Practice Location Address
First Line : 13800 HEACOCK ST STE C220
Second Line :
City : MORENO VALLEY
State : CA
Zip : 92553-3363
Country : US
Telephone Number : 951-653-1800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2016
Last Update Date : 02/20/2026

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Directions to “ MRS. DENISE DELGADO ” Practice Location

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