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NPI Code Detail

MEDICARE: CELESTE DE LEON-PEREY

MEDICARE:   CELESTE  DE LEON-PEREY
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
1104100000XSocial Worker

General Provider Information

NPI Number : 1134654445
Entity Type Code : Individual
Provider Name (Legal Business Name) : CELESTE DE LEON-PEREY
Provider Business Mailing Address
First Line : 2271 REGATTA WAY
Second Line :
City : SAN LEANDRO
State : CA
Zip : 94579-2706
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1404 FRANKLIN ST STE 200
Second Line :
City : OAKLAND
State : CA
Zip : 94612-3208
Country : US
Telephone Number : 510-891-8922
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2017
Last Update Date : 04/24/2017

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Directions to “ CELESTE DE LEON-PEREY ” Practice Location

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