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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285615864 | NPPES |
| North Dakota | MEDICAID | 11640 |
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