Individual
JESSICA VIRGINIA LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2800 W VALLEY BLVD, ALHAMBRA, CA 91803-1866
(562) 777-7500
Mailing address
12070 TELEGRAPH RD, SANTA FE SPRINGS, CA 90670-3771
(562) 777-7500
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-FAWHGS
CA
Other
Enumeration date
12/16/2025
Last updated
12/16/2025
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