| Edwin Romel S. De Leon, M.d., Inc. | |
|
208 W Highland Ave San Bernardino CA 92405-4018 | |
| (909) 886-3100 | |
| Not Available |
| Full Name | Edwin Romel S. De Leon, M.d., Inc. |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 208 W Highland Ave, San Bernardino, California |
| Authorized Official Name and Position | Edwin Romel Soriano De Leon (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7149925853 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edwin Romel S. De Leon, M.d., Inc. 208 W Highland Ave San Bernardino CA 92405-4018 Ph: (909) 886-3100 | Edwin Romel S. De Leon, M.d., Inc. 208 W Highland Ave San Bernardino CA 92405-4018 Ph: (909) 886-3100 |
| NPI Number | 1952836744 |
|---|---|
| Provider Enumeration Date | 04/28/2017 |
| Last Update Date | 04/28/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952836744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | A118530 (California) | Primary |
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