| NPI | 1548579022 |
|---|---|
| Other Name | VICTOR A DELEON, MD |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY PHAN Billing COO Rdinator 702-808-4741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: NV NV9215) |
| Additional Taxonomies | 302R00000X Health Maintenance Organization (Licence: NV NV9215) |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2010-10-11 |