Individual
JONATHAN DE LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2865 LOGAN AVE, SAN DIEGO, CA 92113-2411
(619) 232-4357
Mailing address
2865 LOGAN AVE, SAN DIEGO, CA 92113-2411
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
VN227366
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
804173
CA
Other
Enumeration date
08/10/2010
Last updated
04/03/2026
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