Banzuela, Cresencia Deleon
Banzuela, Cresencia Deleon is an individual health care provider with primary practice located at 260 E Ontario Ave Suite 204, Corona CA 92879-3514. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Banzuela, Cresencia Deleon can be contacted via phone (951) 272-6595.Contact Information
Primary practice address
260 E Ontario Ave Suite 204
Corona CA 92879-3514
Phone: (951) 272-6595
Fax: (951) 272-3872
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A53873 | California |
Profile Details
| NPI number | 1083639710 |
|---|---|
| LBN Legal business name | Banzuela, Cresencia Deleon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2006 |
| Last updated | Feb 27th, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083639710 | NPPES |
| California | MEDICAID | 00A538730 |
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