MEDICARE: NANCY 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
1	2355S0801X	Speech-Language Assistant	3804	CA

General Provider Information

NPI Number	:	1518414648
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NANCY DELGADO

Provider Business Mailing Address
First Line	:	846 E 32ND ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90011-2408
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	846 E 32ND ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90011-2408
Country	:	US
Telephone Number	:	323-216-2783
Fax Number	:

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

Provider Enumeration Date	:	09/07/2016
Last Update Date	:	09/07/2016

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Directions to “ NANCY DELGADO ” Practice Location

Language	Start Address	Practice Location

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