Provider Demographics
NPI:1740596337
Name:DELSONICS INC
Entity Type:Organization
Organization Name:DELSONICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:BROUWERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-262-0122
Mailing Address - Street 1:16787 BEACH BLVD STE 112
Mailing Address - Street 2:PMB 151
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92647-4848
Mailing Address - Country:US
Mailing Address - Phone:714-262-0122
Mailing Address - Fax:
Practice Address - Street 1:14600 GOLDEN WEST STE 205
Practice Address - Street 2:
Practice Address - City:WESTMINISTER
Practice Address - State:CA
Practice Address - Zip Code:92683
Practice Address - Country:US
Practice Address - Phone:714-262-0122
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-20
Last Update Date:2010-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory