Search › California › 363LC0200X
Mary De Leon
NPI 1467249995 · on the registry since 2025 · sole proprietor
Practice
- Address
- 1619 S Adams St
Glendale, CA 91205 - Phone
- (323) 458-3055
Registry record
- Primary taxonomy
- 363LC0200X
363LC0200X
- Also registered as
- 363L00000X
363LA2200X - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-07-10
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