Provider Demographics
NPI:1174657159
Name:DELGADO, NANCY ORALIA
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:ORALIA
Last Name:DELGADO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:906 CORONADO AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90804-5021
Mailing Address - Country:US
Mailing Address - Phone:562-434-3787
Mailing Address - Fax:
Practice Address - Street 1:6335 MYRTLE AVE
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90805-2430
Practice Address - Country:US
Practice Address - Phone:562-570-3275
Practice Address - Fax:562-570-1266
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA01605808Medicare UPIN