# SO DELEON PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356119770
- **Authorized official:** ALLAN MICHAEL DE LEON (PRESIDENT)
- **Authorized official phone:** (702) 972-7061

## Contact information

- **Practice address:** 2350 S JONES BLVD STE 210, LAS VEGAS, NV 89146-3103
- **Practice address phone:** (725) 238-3987
- **Mailing address:** 2350 S JONES BLVD STE 210, LAS VEGAS, NV 89146-3103

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 12/14/2023
- **Last updated:** 10/14/2025