Leon, Mallory

Leon, Mallory is an individual health care provider with primary practice located at 25085 Pacific Crest Street , Corona CA 92883. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Leon, Mallory can be contacted via phone (951) 277-5320.

Contact Information

Primary practice address
25085 Pacific Crest Street Corona CA 92883
Phone: (951) 277-5320
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 8690 North Dakota

Profile Details

NPI number 1285615864
LBN Legal business name Leon, Mallory
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Jul 8th, 2007 - about 19 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 1285615864 NPPES
North Dakota MEDICAID 11640

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