Banzuela, Cresencia Deleon

Banzuela, Cresencia Deleon is an individual health care provider with primary practice located at 260 E Ontario Ave Suite 204, Corona CA 92879-3514. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Banzuela, Cresencia Deleon can be contacted via phone (951) 272-6595.

Contact Information

Primary practice address
260 E Ontario Ave Suite 204 Corona CA 92879-3514
Phone: (951) 272-6595
Fax: (951) 272-3872
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A53873 California

Profile Details

NPI number 1083639710
LBN Legal business name Banzuela, Cresencia Deleon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Feb 27th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083639710 NPPES
California MEDICAID 00A538730

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