De Leon, Diana Grace Reyes

De Leon, Diana Grace Reyes is an individual health care provider with primary practice located at 12376 Twilight Ave , Sylmar CA 91342-5161. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. De Leon, Diana Grace Reyes can be contacted via phone (818) 648-0248.

Contact Information

Primary practice address
12376 Twilight Ave Sylmar CA 91342-5161
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 95018486 California
Nursing Service Providers / Registered Nurse 163W00000X 95062138 California

Profile Details

NPI number 1043976970
LBN Legal business name De Leon, Diana Grace Reyes
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2021
Last updated Nov 15th, 2021 - about 4 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.

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