Individual
MR. JORGE EDWARD DELGADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
610 CORONADO AVE, LONG BEACH, CA 90814-1438
(562) 856-5458
Mailing address
PO BOX 3743, LONG BEACH, CA 90803-0743
(562) 856-5458
(562) 856-5458
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
TCP0036165P
CA
Other
Enumeration date
04/26/2018
Last updated
04/26/2018
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