Dr Liberation Bongato De Leon, MD | |
16660 Paramount Blvd, Suite 211, Paramount, CA 90723-5433 | |
(562) 633-5438 | |
(562) 633-1685 |
Full Name | Dr Liberation Bongato De Leon |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 16660 Paramount Blvd, Paramount, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912120379 | NPI | - | NPPES |
00A320180 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A32018 (California) | Primary |
Entity Name | J & L De Leon Medical Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760407621 PECOS PAC ID: 3870780786 Enrollment ID: O20101203001154 |
Mailing Address | Practice Location Address |
---|---|
Dr Liberation Bongato De Leon, MD 16660 Paramount Blvd, Suite 211, Paramount, CA 90723-5433 Ph: (562) 633-5438 | Dr Liberation Bongato De Leon, MD 16660 Paramount Blvd, Suite 211, Paramount, CA 90723-5433 Ph: (562) 633-5438 |
Mr. Ignatius P Godoy, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 16660 Paramount Blvd, Suite 206, Paramount, CA 90723 Phone: 562-634-9433 Fax: 562-634-6075 | |
Dr. Yolanda A. Zapanta-novero, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 15717 Paramount Blvd, Paramount, CA 90723 Phone: 562-531-2231 Fax: 562-531-8845 | |
Dr. Raymond Francis Chua Ii, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 15955 Paramount Blvd Ste A, Paramount, CA 90723 Phone: 562-531-9806 | |
Dr. Ma Mildred Razo Rey-monroy, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 16415 Colorado Ave Ste 308, Paramount, CA 90723 Phone: 562-630-5581 Fax: 562-630-0411 | |
Mr. Behrooz Bruce Yagoobian, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 15730 Paramount Blvd, Paramount, CA 90723 Phone: 562-634-1000 Fax: 562-634-3048 | |
Dr. Aziz Ibrahim, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 15717 Paramount Blvd., Paramount, CA 90723 Phone: 562-531-2231 Fax: 562-231-8845 |