Organization
EDWIN ROMEL S. DE LEON, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWIN ROMEL SORIANO DE LEON M.D. (CHIEF EXECUTIVE OFFICER)
(714) 992-5853
Entity
Organization
Contact information
Practice address
208 W HIGHLAND AVE, SAN BERNARDINO, CA 92405-4018
(909) 886-3100
Mailing address
208 W HIGHLAND AVE, SAN BERNARDINO, CA 92405-4018
(909) 886-3100
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
A118530
CA
Other
Enumeration date
04/28/2017
Last updated
04/28/2017
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