Basic Information
| Provider Information | |||||||||
| NPI: | 1912005133 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | OGAWA | ||||||||
| FirstName: | DELIA | ||||||||
| MiddleName: | V | ||||||||
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| Credential: | RNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1227 W 17TH ST | ||||||||
| Address2: | SUITE 101 | ||||||||
| City: | SANTA ANA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 927063455 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7145000339 | ||||||||
| FaxNumber: | 7145000341 | ||||||||
| Practice Location | |||||||||
| Address1: | 1227 W 17TH ST | ||||||||
| Address2: | SUITE 101 | ||||||||
| City: | SANTA ANA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 927063455 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7145000339 | ||||||||
| FaxNumber: | 7145000341 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/20/2006 | ||||||||
| LastUpdateDate: | 11/09/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LW0102X | 425070 | CA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Women's Health |
No ID Information.