Organization
J & L DE LEON MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSE MATA DE LEON M.D. (PRESIDENT)
(562) 633-5438
Entity
Organization
Contact information
Practice address
16660 PARAMOUNT BLVD, SUITE # 211, PARAMOUNT, CA 90723-5433
(562) 633-5438
(562) 633-1685
Mailing address
16660 PARAMOUNT BLVD, SUITE # 211, PARAMOUNT, CA 90723-5433
(562) 633-5438
(562) 633-1685
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0099220
—
CA
Enumeration date
07/13/2006
Last updated
09/11/2025
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