Individual
JASON DE LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3611 E IMPERIAL HWY, LYNWOOD, CA 90262-2608
(310) 537-2500
Mailing address
16655 CRAPE MYRTLE LN, WHITTIER, CA 90603-3249
(562) 441-0922
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3228
CA
Other
Enumeration date
02/03/2023
Last updated
02/03/2023
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