MEDICARE: DELTA POINT, INC

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	251S00000X	Community/Behavioral Health Agency	100064AN	CA

General Provider Information

NPI Number	:	1548303522
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DELTA POINT, INC

Provider Business Mailing Address
First Line	:	707 N FULTON ST
Second Line	:	STE. C
City	:	FRESNO
State	:	CA
Zip	:	93728-3405
Country	:	US
Telephone Number	:	559-486-0367
Fax Number	:	559-486-7768

Provider Business Practice Location Address
First Line	:	707 N FULTON ST
Second Line	:	STE. C
City	:	FRESNO
State	:	CA
Zip	:	93728-3405
Country	:	US
Telephone Number	:	559-486-0367
Fax Number	:	559-486-7768

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MR. STEVEN HIRASUNA
Credential	:	M.A.
Telephone Number	:	559-486-0367

Provider Enumeration Date	:	02/15/2007
Last Update Date	:	08/22/2020

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