Most Relevant Information
Provider Data
| NPI Number: | 1003641838 |
| Provider Name: | DANIELLA E LEON |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | 147259 |
Most Important Dates
| Enumeration Date: | 09/03/2024 |
| Last Updated: | 09/08/2024 |
Provider Practice Location
4000 MACARTHUR BLVD
NEWPORT BEACH
CA
926602558
Practice Location Phone/Fax
| Phone: | 4249995798 |
| Fax: |
Provider Mailing Location
10523 RIVERSIDE DR APT 4
TOLUCA LAKE
CA
916022481
Provider Mailing Phone/Fax
| Phone: | 3236427567 |
| Fax: |