De Leon Medical Clinic INC

NPI #1104258870 in Honolulu, Hawaii

Provider Information

NPI Number: 1104258870
Entity Type: Organization
Organization Name: De Leon Medical Clinic INC
Primary Specialty: Internal Medicine
Enumeration Date: Aug 5, 2013
Last Updated: Aug 5, 2013

Practice Location

Address: 1520 LILIHA ST STE 203
City: Honolulu
State: Hawaii
ZIP Code: 96817-3563
Phone: (808) 528-3571

Authorized Official

Name: DR. JOSE C DE LEON, MD
Title: PRESIDENT
Phone: (808) 528-3571

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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