| Baldomero De Leon M.d. Inc. | |
|
1479 Ygnacio Valley Rd Ste 201 Walnut Creek CA 94598-2945 | |
| (925) 932-1018 | |
| (925) 932-7938 |
| Full Name | Baldomero De Leon M.d. Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1479 Ygnacio Valley Rd Ste 201, Walnut Creek, California |
| Authorized Official Name and Position | Baldomero De Leon (OWNER) |
| Authorized Official Contact | 9259321018 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Baldomero De Leon M.d. Inc. 130 La Casa Via Ste 201 Walnut Creek CA 94598-3030 Ph: (925) 932-1018 | Baldomero De Leon M.d. Inc. 1479 Ygnacio Valley Rd Ste 201 Walnut Creek CA 94598-2945 Ph: (925) 932-1018 |
| NPI Number | 1063764488 |
|---|---|
| Provider Enumeration Date | 10/09/2012 |
| Last Update Date | 04/04/2018 |
| Medicare PECOS PAC ID | 3577718394 |
|---|---|
| Medicare Enrollment ID | O20130228000413 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063764488 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G35749 (California) | Primary |
| Provider Name | Baldomero Deleon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891819090 PECOS PAC ID: 8820243645 Enrollment ID: I20130228000435 |
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