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NPI Code Detail

MEDICARE: DIANA DE LEON

MEDICARE: DIANA DE LEON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator
2372600000XAdult CompanionCA

General Provider Information

NPI Number : 1013643907
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANA DE LEON
Provider Business Mailing Address
First Line : 9340 E STOCKTON BLVD
Second Line :
City : ELK GROVE
State : CA
Zip : 95624-1563
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9340 E STOCKTON BLVD
Second Line :
City : ELK GROVE
State : CA
Zip : 95624-1563
Country : US
Telephone Number : 916-509-8198
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2022
Last Update Date : 03/30/2026

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Directions to “ DIANA DE LEON ” Practice Location

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