# JOHN M DELGADO MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730564865
- **Authorized official:** JOHN M. DELGADO M.D. (PRESIDENT)
- **Authorized official phone:** (805) 497-9481

## Contact information

- **Practice address:** 375 ROLLING OAKS DR, STE 200, THOUSAND OAKS, CA 91361-1027
- **Practice address phone:** (805) 497-9481
- **Practice address fax:** (805) 497-9001
- **Mailing address:** 375 ROLLING OAKS DR, STE 200, THOUSAND OAKS, CA 91361-1027
- **Mailing address phone:** (805) 497-9481
- **Mailing address fax:** (805) 497-9001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 136480 | CA | Yes |

## Other

- **Enumeration date:** 07/30/2015
- **Last updated:** 10/07/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | C136480 | MEDICAL LICENSE | CA |