Individual
DR. OCTAVIO DELGADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYCHOLOGIST
Contact information
Practice address
111 S GARFIELD AVE, SUITE 101, MONTEBELLO, CA 90640-3800
(323) 890-0180
(323) 890-1167
Mailing address
PO BOX 230548, ENCINITAS, CA 92023-0548
(323) 890-0180
(323) 890-1167
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
PSY 12523
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
148254
PROVIDER NUMBER
CA
Enumeration date
01/17/2007
Last updated
07/08/2007
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