| Doctor Name: | DR. ROSITA DE LEON SAN DIEGO |
| NPI Number: | 1467652602 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | A98076 |
| Business Practice Address: | 18631 Sherman Way Suite F Reseda, CA - 913354193 |
| Business Phone Number: | 8189969961 |
| Business Fax Number: | 6362229670 |
| Mailing Address: | 9148 Columbus Ave, NORTH HILLS |
| State: | CA |
| Postal Code: | 913432240 |
| Phone Number: | 8188939299 |
| Fax Number: | 8188939299 |
| NPI Enumeration Date: | 07/24/2007 |
| NPI Last Update Date: | 10/03/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A98076 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |