Organization
DELTA EYE MEDICAL GROUP, INC.
Active
Parent organization
DELTA EYE MEDICAL GROUP, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
DELTA EYE MEDICAL GROUP, INC.
Authorized official
MS. CINDY DAASCH (MANAGER)
(209) 478-1797
Entity
Organization
Contact information
Practice address
2160 W GRANT LINE RD, SUITE 100, TRACY, CA 95377-7330
(209) 835-2227
Mailing address
2160 W GRANT LINE RD, SUITE 100, TRACY, CA 95377-7330
(209) 835-2227
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE2454
RAILROAD MEDICARE
CA
05
—
GR0008462
—
CA
Enumeration date
10/09/2007
Last updated
07/14/2023
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