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Organization

DE LEON MEDICAL CLINIC INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSE C DE LEON MD (PRESIDENT)
(808) 528-3571
Entity
Organization

Contact information

Practice address
1520 LILIHA ST STE 203, HONOLULU, HI 96817-3563
(808) 528-3571
(808) 528-0196
Mailing address
1520 LILIHA ST STE 203, HONOLULU, HI 96817-3563
(808) 528-3571
(808) 528-0196

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD-3031
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MD-3031
HAWAII LICENSE
Enumeration date
08/05/2013
Last updated
08/05/2013
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