| Doctor Name: | DR. OCTAVIO DELGADO |
| NPI Number: | 1083766489 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSYCHOLOGIST |
| License Number: | PSY 12523 |
| Business Practice Address: | 111 S Garfield Ave Suite 101 Montebello, CA - 906403800 |
| Business Phone Number: | 3238900180 |
| Business Fax Number: | 3238901167 |
| Mailing Address: | Po Box 230548, ENCINITAS |
| State: | CA |
| Postal Code: | 920230548 |
| Phone Number: | 3238900180 |
| Fax Number: | 3238901167 |
| NPI Enumeration Date: | 01/17/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TP2701X |
| License Number: | PSY 12523 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Group Psychotherapy |
| Taxonomy Definition: | |