SearchCalifornia171M00000X

Gavin De Leon

NPI 1255113338 · on the registry since 2023 · sole proprietor

Practice

Address
290 N 2nd St
San Jose, CA 95112
Phone
(408) 418-3232
Organisation at this address
Path
Inferred from a shared address, not stated in the registry.
Clinicians at this address
14

Registry record

Primary taxonomy
171M00000X
171M00000X
Sex
Male
Record last updated
2023-10-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California