Organization
HEALTH CARE AGENCY
Active
Organization
HEALTH CARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. XIOMARA ALICIA DELGADO L.C.S.W (LICENSED CLINICAL SOCIAL WORKER)
(714) 850-8408
Entity
Organization
Contact information
Practice address
3115 RED HILL AVE, COSTA MESA, CA 92626-4517
(714) 850-8408
Mailing address
11 BELCANTO, IRVINE, CA 92614
(949) 852-0593
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LCS15100
CA
Other
Enumeration date
10/19/2006
Last updated
08/22/2020
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