| Dr Rosita De Leon San Diego, MD | |
|
18631 Sherman Way, Suite F, Reseda, CA 91335-4193 | |
| (818) 996-9961 | |
| (636) 222-9670 |
| Full Name | Dr Rosita De Leon San Diego |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 18631 Sherman Way, Reseda, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467652602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | A98076 (California) | Primary |
| 208D00000X | General Practice | A98076 (California) | Secondary |
| Entity Name | County Of Los Angeles |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851363188 PECOS PAC ID: 1850296534 Enrollment ID: O20031204001218 |
| Entity Name | Northeast Valley Health Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629079009 PECOS PAC ID: 3173517323 Enrollment ID: O20040412001067 |
| Entity Name | Los Angeles County Department Of Public Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962109033 PECOS PAC ID: 3072966621 Enrollment ID: O20240130002960 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Rosita De Leon San Diego, MD 9148 Columbus Ave, North Hills, CA 91343-2240 Ph: (818) 893-9299 | Dr Rosita De Leon San Diego, MD 18631 Sherman Way, Suite F, Reseda, CA 91335-4193 Ph: (818) 996-9961 |
Mr. Hamid Moradi, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 19231 Victory Blvd, Suite 210, Reseda, CA 91335 Phone: 818-881-8210 Fax: 818-881-1710 | |
Jung Hi Kim, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 18614 Sherman Way, Reseda, CA 91335 Phone: 812-996-9497 Fax: 812-996-2153 |