Healthcare Provider Details

I. General information

NPI: 1831042167
Provider Name (Legal Business Name): CHRISTOPHER JEREMIAH DE LEON PT, DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/17/2026
Last Update Date: 02/17/2026
Certification Date: 02/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3292 E WILLOW ST
SIGNAL HILL CA
90755-2309
US

IV. Provider business mailing address

3292 E WILLOW ST
SIGNAL HILL CA
90755-2309
US

V. Phone/Fax

Practice location:
  • Phone: 562-427-2225
  • Fax: 562-427-5656
Mailing address:
  • Phone: 562-427-2225
  • Fax: 562-427-5656

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number309742
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: