Individual
DELMA JULIETA NIEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
455 S MAIN ST, ORANGE, CA 92868-3874
(714) 532-8403
(714) 289-4014
Mailing address
455 S MAIN ST, PSF CREDENTIALING, ORANGE, CA 92868-3874
(714) 289-4511
(714) 204-3212
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A87032
CA
2080P0208X
Pediatric Infectious Diseases Physician
A87032
CA
Other
Enumeration date
11/03/2007
Last updated
03/26/2010
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