Provider Demographics
NPI:1356623185
Name:DELGADO, ERIKA J
Entity type:Individual
Prefix:MS
First Name:ERIKA
Middle Name:J
Last Name:DELGADO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3616 ARDMORE AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH GATE
Mailing Address - State:CA
Mailing Address - Zip Code:90280-3105
Mailing Address - Country:US
Mailing Address - Phone:213-487-9800
Mailing Address - Fax:213-487-9801
Practice Address - Street 1:2500 WILSHIRE BLVD SUITE 922
Practice Address - Street 2:
Practice Address - City:LOS ANAGELES
Practice Address - State:CA
Practice Address - Zip Code:90057-4314
Practice Address - Country:US
Practice Address - Phone:213-487-9800
Practice Address - Fax:213-487-9801
Is Sole Proprietor?:No
Enumeration Date:2011-09-19
Last Update Date:2011-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101Y00000XBehavioral Health & Social Service ProvidersCounselor