| Ronald L Leon Md Inc | |
|
3432 Hillcrest Ave Ste 175 Antioch CA 94531-6343 | |
| (925) 778-1502 | |
| (925) 753-1397 |
| Full Name | Ronald L Leon Md Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3432 Hillcrest Ave Ste 175, Antioch, California |
| Authorized Official Name and Position | Ronald L Leon (PRESIDENT) |
| Authorized Official Contact | 9257781502 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald L Leon Md Inc 3432 Hillcrest Ave Ste 175 Antioch CA 94531-6343 Ph: (925) 778-1502 | Ronald L Leon Md Inc 3432 Hillcrest Ave Ste 175 Antioch CA 94531-6343 Ph: (925) 778-1502 |
| NPI Number | 1497113724 |
|---|---|
| Provider Enumeration Date | 02/01/2016 |
| Last Update Date | 06/06/2016 |
| Medicare PECOS PAC ID | 9830489673 |
|---|---|
| Medicare Enrollment ID | O20160607000272 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497113724 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | A40420 (California) | Primary |
| Provider Name | Ronald L Leon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467418830 PECOS PAC ID: 5092737460 Enrollment ID: I20051228000752 |
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