Provider Demographics
NPI:1164556569
Name:DELGADILLO, EDUARDO
Entity Type:Individual
Prefix:MR
First Name:EDUARDO
Middle Name:
Last Name:DELGADILLO
Suffix:
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:EDUARDO
Other - Middle Name:
Other - Last Name:DELGADILLO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:7354 BRIGHT AVE APT C
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90602-1680
Mailing Address - Country:US
Mailing Address - Phone:323-774-3334
Mailing Address - Fax:
Practice Address - Street 1:7354 BRIGHT AVE APT C
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90602-1680
Practice Address - Country:US
Practice Address - Phone:323-774-3334
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2013-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator