Organization
DELTA EYE MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CINDY L DAASCH (OFFICE MANAGER)
(209) 478-1797
Entity
Organization
Contact information
Practice address
1617 SAINT MARKS PLZ, SUITE D, STOCKTON, CA 95207-6423
(209) 478-1797
(209) 478-1224
Mailing address
1617 SAINT MARKS PLZ, SUITE D, STOCKTON, CA 95207-6423
(209) 478-1797
(209) 478-1224
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CE8123
RAILROAD
CA
05
—
ZZZ72835Z
—
CA
Enumeration date
08/28/2006
Last updated
07/14/2023
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