Individual
EDWARD DELEONARDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
345 S HALCYON RD, ARROYO GRANDE, CA 93420-3896
(805) 489-4261
Mailing address
PO BOX 1507, TEMPLETON, CA 93465-1507
(805) 434-4989
(805) 286-3820
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G44950
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G449500
—
CA
Enumeration date
01/29/2007
Last updated
08/14/2013
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