| Jeff P. Deleon, Do., Inc. | |
|
440 Fair Dr Suite E Costa Mesa CA 92626-6274 | |
| (714) 444-0737 | |
| (714) 444-0742 |
| Full Name | Jeff P. Deleon, Do., Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 440 Fair Dr, Costa Mesa, California |
| Authorized Official Name and Position | Jeff P Deleon (CEO) |
| Authorized Official Contact | 7144440737 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeff P. Deleon, Do., Inc. 440 Fair Dr Suite E Costa Mesa CA 92626-6274 Ph: (714) 444-0737 | Jeff P. Deleon, Do., Inc. 440 Fair Dr Suite E Costa Mesa CA 92626-6274 Ph: (714) 444-0737 |
| NPI Number | 1194746230 |
|---|---|
| Provider Enumeration Date | 07/22/2006 |
| Last Update Date | 12/13/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194746230 | NPI | - | NPPES |
| 00AX72790 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A7279 (California) | Primary |
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