Individual
AMY DELANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6405 DAY ST, RIVERSIDE, CA 92507-0901
(951) 697-5412
(951) 697-5439
Mailing address
6405 DAY ST, RIVERSIDE, CA 92507-0901
(951) 697-5412
(516) 975-4399
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A121729
CA
207N00000X
Dermatology Physician
MT191043
PA
207ND0101X
MOHS-Micrographic Surgery Physician
A121729
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1730180415
GROUP NPI
CA
01
—
1780782557
SITE NPI
CA
Enumeration date
07/02/2008
Last updated
04/11/2025
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