| Doctor Name: | JORGE DELGADILLO |
| NPI Number: | 1528337920 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 33524 |
| Business Practice Address: | 3939 Atlantic Ave Ste 100 Long Beach, CA - 908073536 |
| Business Phone Number: | 5624576010 |
| Business Fax Number: | 5624245600 |
| Mailing Address: | 3939 Atlantic Ave, Ste 100 LONG BEACH |
| State: | CA |
| Postal Code: | 908073536 |
| Phone Number: | 5624576010 |
| Fax Number: | 5624245600 |
| NPI Enumeration Date: | 12/14/2011 |
| NPI Last Update Date: | 04/02/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 33524 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |