Provider Demographics
NPI:1912005133
Name:OGAWA, DELIA V (RNP)
Entity Type:Individual
Prefix:
First Name:DELIA
Middle Name:V
Last Name:OGAWA
Suffix:
Gender:F
Credentials:RNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1227 W 17TH ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92706-3455
Mailing Address - Country:US
Mailing Address - Phone:714-500-0339
Mailing Address - Fax:714-500-0341
Practice Address - Street 1:1227 W 17TH ST
Practice Address - Street 2:SUITE 101
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92706-3455
Practice Address - Country:US
Practice Address - Phone:714-500-0339
Practice Address - Fax:714-500-0341
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2011-11-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA425070363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health