Individual
NICOLAS R DELAPENA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3389 G ST, SUITE A, MERCED, CA 95340-0964
(209) 722-1205
(209) 722-7833
Mailing address
3389 G ST, SUITE A, MERCED, CA 95340-0964
(209) 722-1205
(209) 722-7833
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
A61619
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A616191
—
CA
Enumeration date
09/09/2005
Last updated
07/08/2007
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