OrganizationJeff P. Deleon, Do., Inc.Family MedicineAllopathic & Osteopathic PhysiciansPractice Address440 Fair Dr, Suite E, Costa Mesa, CA 92626-6274(714) 444-0737PECOS EnrollmentBased on the most recent information from CMS, provider Jeff P. Deleon, Do., Inc. does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:51 AM.Profile DetailsProvider ID1194746230Provider TypeOrganizationFull NameJeff P. Deleon, Do., Inc.SubpartNoEnumeration Date7/22/2006Last Updated12/13/2007Contact InformationPractice LocationPractice Address440 Fair Dr, Suite E, Costa Mesa, CA 92626-6274Phone(714) 444-0737Fax(714) 444-0742Mailing LocationMailing Address440 Fair Dr, Suite E, Costa Mesa, CA 92626-6274Phone(714) 444-0737Fax(714) 444-0742Authorized OfficialNameDeleon, Jeff P (Ceo)Phone(714) 444-0737Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense20A7279CaliforniaProvider IdentifiersIDDescriptionIssuerID00AX72790DescriptionMedicaidIssuerUnlistedCalifornia