Provider Demographics
NPI:1720319155
Name:NORTH VALLEY FAMILY PHYSICIANS
Entity type:Organization
Organization Name:NORTH VALLEY FAMILY PHYSICIANS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIAN
Authorized Official - Middle Name:LAZARO
Authorized Official - Last Name:DELGADO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:530-458-8050
Mailing Address - Street 1:501 E ST STE B
Mailing Address - Street 2:
Mailing Address - City:WILLIAMS
Mailing Address - State:CA
Mailing Address - Zip Code:95987-5805
Mailing Address - Country:US
Mailing Address - Phone:530-473-5255
Mailing Address - Fax:530-473-5996
Practice Address - Street 1:501 E ST STE B
Practice Address - Street 2:
Practice Address - City:WILLIAMS
Practice Address - State:CA
Practice Address - Zip Code:95987-5805
Practice Address - Country:US
Practice Address - Phone:530-473-5255
Practice Address - Fax:530-473-5996
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-25
Last Update Date:2013-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA0000000393173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes173000000XOther Service ProvidersLegal MedicineGroup - Single Specialty