Provider Demographics
NPI:1306402474
Name:DELANO WOMEN'S IMAGING CENTER
Entity Type:Organization
Organization Name:DELANO WOMEN'S IMAGING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF LEGAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:NADER
Authorized Official - Middle Name:
Authorized Official - Last Name:ALSHEIKH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-717-2133
Mailing Address - Street 1:1311 JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:DELANO
Mailing Address - State:CA
Mailing Address - Zip Code:93215-2205
Mailing Address - Country:US
Mailing Address - Phone:661-721-3510
Mailing Address - Fax:661-721-0562
Practice Address - Street 1:1311 JEFFERSON ST STE B
Practice Address - Street 2:
Practice Address - City:DELANO
Practice Address - State:CA
Practice Address - Zip Code:93215-2205
Practice Address - Country:US
Practice Address - Phone:661-721-3510
Practice Address - Fax:661-721-0562
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-14
Last Update Date:2019-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0206XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mammography