Provider Demographics
NPI:1316830094
Name:DELEON, SARAH (LPE)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:DELEON
Suffix:
Gender:F
Credentials:LPE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6840 INDIANA AVE STE 220
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92506-4260
Mailing Address - Country:US
Mailing Address - Phone:909-717-6069
Mailing Address - Fax:
Practice Address - Street 1:6840 INDIANA AVE STE 220
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92506-4260
Practice Address - Country:US
Practice Address - Phone:909-717-6069
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-31
Last Update Date:2025-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAL9994174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist