Liberation Bongato De Leon in Paramount - Pediatrics

Liberation Bongato De Leon - NPI 1912120379

Liberation Bongato De Leon is a Pediatrics in Paramount, California. Liberation Bongato De Leon practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Liberation Bongato De Leon is 1912120379. The last update date is 2007-07-08.

Liberation Bongato De Leon's current location address is 16660 Paramount Blvd, Paramount, California. You can contact this provider via phone number 5626335438 and fax number 5626331685. The mailing address for Liberation Bongato De Leon is 16660 Paramount Blvd, Paramount, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Liberation Bongato De Leon
Address 16660 Paramount Blvd, Paramount, California
Phone Number 5626335438
Fax Number 5626331685
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1912120379
Provider Enumeration Date 2007-04-11
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 16660 Paramount Blvd
City Paramount
State California (CA)
Post Code 907235433
Phone Number 5626335438
Fax Number 5626331685

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No A32018
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00A320180 CA --

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FAQs about Liberation Bongato De Leon

What is the unique 10-digit identification code assigned to Liberation Bongato De Leon by the Centers for Medicare & Medicaid Services?

The Liberation Bongato De Leon has been issued the NPI (National Provider Identifier) 1912120379, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Liberation Bongato De Leon's facilities are situated?

The facilities of Liberation Bongato De Leon are physically located at the following address: 16660 Paramount Blvd, Paramount, CA, 907235433.

What is Liberation Bongato De Leon's area of expertise and its corresponding taxonomy classification?

The Liberation Bongato De Leon's field of specialization is Pediatrics, and it falls under the taxonomy code 208000000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services assign the 1912120379 to Liberation Bongato De Leon?

The Centers for Medicare & Medicaid Services assigned the 1912120379 to Liberation Bongato De Leon on 2007-04-11.

When was the information regarding Liberation Bongato De Leon most recently updated?

The details pertaining to the Liberation Bongato De Leon, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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