Individual
DR. TAYSON DELENGOCKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
835 3RD AVE, SUITE A, CHULA VISTA, CA 91911-1352
(619) 425-7755
(619) 425-2138
Mailing address
835 3RD AVE, SUITE A, CHULA VISTA, CA 91911-1352
(619) 425-7755
(619) 425-2138
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
036122962
IL
207W00000X
Ophthalmology Physician
20A12784
CA
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
20A12784
CA
Other
Enumeration date
05/11/2007
Last updated
04/05/2017
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