MEDICARE: JESSICA MARIE 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
1	104100000X	Social Worker	119295	CA

General Provider Information

NPI Number	:	1679105969
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA MARIE LEON

Provider Business Mailing Address
First Line	:	225 ACADEMY AVE
Second Line	:
City	:	SANGER
State	:	CA
Zip	:	93657-2128
Country	:	US
Telephone Number	:	855-343-1057
Fax Number	:

Provider Business Practice Location Address
First Line	:	225 ACADEMY AVE
Second Line	:
City	:	SANGER
State	:	CA
Zip	:	93657-2128
Country	:	US
Telephone Number	:	855-343-1057
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/05/2020
Last Update Date	:	04/14/2026

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Directions to “ JESSICA MARIE LEON ” Practice Location

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