Individual
ALFREDO LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3132 WEST MARCH LANE, SUITE 5, STOCKTON, CA 95219-2354
(209) 475-5500
(208) 475-5535
Mailing address
3400 DATA DRIVE, CHW MEDICAL FOUNDATION, RANCHO CORDOVA, CA 95670-7956
(916) 379-2911
(916) 859-2911
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A20685
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A206850
BLUE SHIELD
—
05
—
00A206850
—
CA
01
—
110011810
RR MEDICARE
—
Enumeration date
06/21/2006
Last updated
03/29/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us