Luis Gerardo De Leon Jr.

Rehabilitation Practitioner · Clovis, CA

Individual Active NPI

NPI number 1902768542

Practice location

1797 San Jose Ave
Clovis, CA 93611-3078
Phone
(559) 790-2271

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NPI record

NPI
1902768542
Entity type
Individual (Type 1)
Enumeration date
December 2, 2025
Last updated
December 2, 2025
Certified
December 2, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Rehabilitation Practitioner Primary 225400000X — CA

Mailing address

1187 N Willow Ave Ste 103
Clovis, CA 93611-4411

About Luis De Leon

Luis Gerardo De Leon Jr. is a healthcare provider registered in the NPI registry with the primary taxonomy Rehabilitation Practitioner (code 225400000X). The practice location is 1797 San Jose Ave, Clovis, CA 93611-3078. The NPI number 1902768542 was assigned on December 2, 2025 and the record was last updated on December 2, 2025.

Frequently asked questions

What is the NPI number of Luis Gerardo De Leon Jr.?

The NPI number is 1902768542.

What is the phone number of Luis De Leon?

The phone number listed for the practice location is (559) 790-2271.

Where is Luis De Leon located?

1797 San Jose Ave, Clovis, CA 93611-3078.

What is the taxonomy code for Luis De Leon?

The primary taxonomy code is 225400000X – Rehabilitation Practitioner.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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