# EDWIN ROMEL S. DE LEON, M.D., INC.

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

## Provider details

- **NPI number:** 1952836744
- **Authorized official:** DR. EDWIN ROMEL SORIANO DE LEON M.D. (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (714) 992-5853

## Contact information

- **Practice address:** 208 W HIGHLAND AVE, SAN BERNARDINO, CA 92405-4018
- **Practice address phone:** (909) 886-3100
- **Mailing address:** 208 W HIGHLAND AVE, SAN BERNARDINO, CA 92405-4018
- **Mailing address phone:** (909) 886-3100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | A118530 | CA | Yes |

## Other

- **Enumeration date:** 04/28/2017
- **Last updated:** 04/28/2017