Organization
DANIEL R DELGADO, OD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL DELGADO O.D. (PRES)
(760) 743-4616
Entity
Organization
Contact information
Practice address
613 E GRAND AVE, ESCONDIDO, CA 92025-4402
(760) 743-4616
Mailing address
613 E GRAND AVE, ESCONDIDO, CA 92025-4402
(760) 743-4616
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7173T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GSD001860
—
CA
Enumeration date
08/31/2006
Last updated
11/13/2007
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