Provider Demographics
NPI:1497113724
Name:RONALD L LEON MD INC
Entity Type:Organization
Organization Name:RONALD L LEON MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:L
Authorized Official - Last Name:LEON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:925-778-1502
Mailing Address - Street 1:3432 HILLCREST AVE STE 175
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:CA
Mailing Address - Zip Code:94531-6343
Mailing Address - Country:US
Mailing Address - Phone:925-778-1502
Mailing Address - Fax:925-753-1397
Practice Address - Street 1:3432 HILLCREST AVE STE 175
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:CA
Practice Address - Zip Code:94531-6343
Practice Address - Country:US
Practice Address - Phone:925-778-1502
Practice Address - Fax:925-753-1397
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-01
Last Update Date:2016-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA404202084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty