Individual
MR. KEVIN MATTHEW DELGADILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7862 EL CAJON BLVD, LA MESA, CA 91942-6712
(619) 644-6452
(619) 466-7528
Mailing address
7862 EL CAJON BLVD, LA MESA, CA 91942-6712
(619) 644-6452
(619) 466-7528
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA19726
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861593063
—
CA
Enumeration date
05/15/2008
Last updated
05/05/2017
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