Provider Demographics
NPI:1326478769
Name:DEL REY CONSULTING LLC
Entity Type:Organization
Organization Name:DEL REY CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:REYES
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:916-617-2137
Mailing Address - Street 1:3974 PROSSER ST
Mailing Address - Street 2:UNITED STATES, COMMONWEAL
Mailing Address - City:WEST SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95691-6215
Mailing Address - Country:US
Mailing Address - Phone:916-596-5139
Mailing Address - Fax:
Practice Address - Street 1:3974 PROSSER ST
Practice Address - Street 2:UNITED STATES, COMMONWEAL
Practice Address - City:WEST SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95691-6215
Practice Address - Country:US
Practice Address - Phone:916-596-5139
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-21
Last Update Date:2013-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP1600X
CA090111398101YS0200X
CA69512183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchoolGroup - Multi-Specialty
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Multi-Specialty
No183700000XPharmacy Service ProvidersPharmacy TechnicianGroup - Multi-Specialty