Organization
EASTSIDE PSYCHOLOGICAL SERVICES, INC.
Active
Organization
EASTSIDE PSYCHOLOGICAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OCTAVIO DELGADO PSYCHOLOGIST (PRES/CEO)
(323) 890-0180
Entity
Organization
Contact information
Practice address
111 S GARFIELD AVE, SUITE 101, MONTEBELLO, CA 90640-3800
(323) 890-0180
(323) 890-1167
Mailing address
1600 E 4TH ST, SUITE 100, SANTA ANA, CA 92701-5100
(657) 622-0363
(657) 622-0379
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
PSY12523
CA
Other
Enumeration date
02/03/2014
Last updated
02/06/2014
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