De Leon, Mia

De Leon, Mia is an sole proprietor health care provider with primary practice located at 415 Rolling Oaks Dr Ste 110 , Thousand Oaks CA 91361-1030. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. De Leon, Mia can be contacted via phone (805) 557-1740.

Contact Information

Primary practice address
415 Rolling Oaks Dr Ste 110 Thousand Oaks CA 91361-1030
Fax: (805) 557-1743
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X CA497626 California

Profile Details

NPI number 1700119195
LBN Legal business name De Leon, Mia
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 16th, 2009
Last updated Apr 4th, 2019 - about 7 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.

Request for update

Popular Providers