Individual
DR. CANDYCE DELOATCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2121 W TEMPLE ST, LOS ANGELES, CA 90026-4915
(213) 385-5100
Mailing address
2121 W TEMPLE ST, LOS ANGELES, CA 90026-4915
(213) 385-5100
(661) 266-1210
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
A125972
CA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
A125972
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95-2633765
MEDI-CAL
CA
Enumeration date
01/30/2007
Last updated
09/19/2024
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