Provider Demographics
NPI:1366040263
Name:DELGADO, BERENGERE PEYREFITTE (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:BERENGERE
Middle Name:PEYREFITTE
Last Name:DELGADO
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1225 VALENCIA ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90015-2031
Mailing Address - Country:US
Mailing Address - Phone:951-741-9513
Mailing Address - Fax:
Practice Address - Street 1:2455 190TH ST STE A
Practice Address - Street 2:
Practice Address - City:REDONDO BEACH
Practice Address - State:CA
Practice Address - Zip Code:90278-5334
Practice Address - Country:US
Practice Address - Phone:310-846-9156
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-13
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA299378225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist