Dr Jacqueline Marie Leon Leon, MD | |
25500 Rancho Niguel Rd Ste 110, Laguna Niguel, CA 92677-7373 | |
(949) 448-8821 | |
(949) 448-8831 |
Full Name | Dr Jacqueline Marie Leon Leon |
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Gender | Female |
Speciality | Pediatrics |
Location | 25500 Rancho Niguel Rd Ste 110, Laguna Niguel, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629398490 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A111658 (California) | Primary |
Entity Name | Providence Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
Entity Name | Hoag Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942799523 PECOS PAC ID: 3274872064 Enrollment ID: O20190221001936 |
Mailing Address | Practice Location Address |
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Dr Jacqueline Marie Leon Leon, MD 24422 Avenida De La Carlota Ste 300, Laguna Hills, CA 92653-3628 Ph: (949) 599-2423 | Dr Jacqueline Marie Leon Leon, MD 25500 Rancho Niguel Rd Ste 110, Laguna Niguel, CA 92677-7373 Ph: (949) 448-8821 |
Dr. Rebecca Allison Garfinkle, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 30131 Town Center Dr Ste 245, Laguna Niguel, CA 92677 Phone: 949-495-9600 Fax: 949-249-7848 | |
Dr. Susan Elizabeth Gillis, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 25500 Rancho Niguel Rd Ste 110, Laguna Niguel, CA 92677 Phone: 949-448-8821 | |
Mrs. Geeta Grover, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 30131 Town Center Drive, Suite 130, Laguna Niguel, CA 92677 Phone: 949-249-6920 Fax: 949-249-6930 | |
Dr. Amanda Salter, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 25500 Rancho Niguel Rd Ste 110, Laguna Niguel, CA 92677 Phone: 949-448-8821 | |
Heidi Vivian Cipollone Herrera, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 25500 Rancho Niguel Rd Ste 110, Laguna Niguel, CA 92677 Phone: 949-448-8821 Fax: 949-448-8831 | |
Wesley Y Kim, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 25500 Rancho Niguel Rd Ste 110, Laguna Niguel, CA 92677 Phone: 949-448-8821 |