Juan Sebastian Sandoval Leon, M.D.

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

MT207762 Issued in PA

Practice address

1200 S Cedar Crest Blvd
Obstetrics & Gynecology Department
Allentown, PA 18103-6202

Phone

(610) 402-2273

NPI assigned

Jul 8, 2011

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1310083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426809600000",
    "number": "1649567843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1343 N 14TH ST APT N10",
            "city": "WHITEHALL",
            "state": "PA",
            "postal_code": "180527514",
            "telephone_number": "305-775-2639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S CEDAR CREST BLVD",
            "address_2": "OBSTETRICS & GYNECOLOGY DEPARTMENT",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036202",
            "telephone_number": "610-402-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL LEON",
        "first_name": "JUAN",
        "middle_name": "SEBASTIAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-08",
        "last_updated": "2015-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "MT207762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James A Sandberg, M.D.
• Marissa Kay Sanders, LPN
• Rebekah S Sanders, CRNP
• Rovinder Singh Sandhu, MD
• Shobhana Sandhu, DO
• Ana E Sandoval, MS
• Robert E Sanford, D.M.D.
• William Sangster, M.D.
• Tony H Sankari, OD
• Aminata Sano, MD

• Student in an Organized Health Care Education/Training Program in Allentown, PA
• Providers in Allentown, PA by specialty
• Student in an Organized Health Care Education/Training Program in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.