NPI Lookup
NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

ANDRE DE LEON, MD
45280 SEELEY DR
2ND FLOOR
LA QUINTA, CA92253-6834
 Phone: 760-834-7920
 Fax: 760-834-7921
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for ANDRE DE LEON · (Male)

NPI Number 1922281633
Credentials MD
Entity Individual
Enumeration date 12/17/2007
Last updated 02/24/2016 - About 7 months ago
Sole proprietor 1 No
Identifiers
CA License # A111115
OH License # 57.013768
Hospital affiliation(s)
  • EISENHOWER MEDICAL CENTER - (Acute Care)
    39-000 BOB HOPE DRIVE
    RANCHO MIRAGE, CA 92270
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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