Individual
MR. GIANPAUL PONCE DE LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.A.
Contact information
Practice address
2600 REDONDO AVE FL 6TH, LONG BEACH, CA 90806-2325
(562) 256-7920
Mailing address
2600 REDONDO AVE FL 6TH, LONG BEACH, CA 90806-2325
(562) 256-7920
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
12/02/2010
Last updated
05/02/2025
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