| Doctor Name: | MR. LEE DELIMA |
| NPI Number: | 1194924936 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RAS |
| License Number: | D0501041740 |
| Business Practice Address: | 2523 El Portal Dr Suite #206 San Pablo, CA - 948063305 |
| Business Phone Number: | 5103747011 |
| Business Fax Number: | |
| Mailing Address: | 2523 El Portal Dr, Suite #206 SAN PABLO |
| State: | CA |
| Postal Code: | 948063305 |
| Phone Number: | 5103747011 |
| Fax Number: | |
| NPI Enumeration Date: | 07/12/2007 |
| NPI Last Update Date: | 07/12/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | D0501041740 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |