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JEFF P. DELEON DO. INC. NPI 1194746230


NPI Information

NPI: 1194746230
Provider Name: JEFF P. DELEON, DO., INC.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
440 FAIR DR
SUITE E
COSTA MESA, CA
ZIP 92626
Phone: (714) 444-0737
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JEFF P. DELEON, DO., INC. is a family medicine in Costa Mesa, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. JEFF P. DELEON, DO., INC. NPI is 1194746230. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

440 FAIR DR
SUITE E
COSTA MESA, CA
ZIP 92626-274
Phone: (714) 444-0737
Fax: (714) 444-0742

The provider's authorized official is Jeff P Deleon .
The authorized official title is Ceo and has the following contact phone number (714) 444-0737.

The enumeration date for this NPI number is 7/22/2006 and was last updated on 12/13/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine20A7279CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100AX72790MEDICAIDCALIFORNIA
2G89360MEDICARE UPINCALIFORNIA
3W17318MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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