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Export Provider Record NPI 1083024681
Jennifer Ledon
Active
NPI Number1083024681
NPI TypeNPI-1 Individual
SpecialtyDermatology
Provider Details
NPI1083024681
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2014-05-05
Last Updated2020-08-13
Mailing Address2285 Corporate Cir Ste 200
Henderson, NV 89074-7759
United States
Phone: (702) 360-2763 | Fax: (949) 783-2880
📍 View Map
Primary Practice Address1440 N Harbor Blvd Ste 300
Fullerton, CA 92835-4116
United States
Phone: (714) 526-7546 | Fax: (714) 526-7547
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No390200000X – Student in an Organized Health Care Education/Training Program
Yes207N00000X – DermatologyCAA155843
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About NPI 1083024681

Jennifer Ledon is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1083024681. The primary specialty listed is Dermatology. The provider is located in Fullerton, CA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2014-05-05. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1083024681?

NPI 1083024681 belongs to Jennifer Ledon, a Dermatology in Fullerton, CA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1083024681 active?

The current status of NPI 1083024681 in the NPPES registry is Active. The record was last updated on 2020-08-13.

What specialty is NPI 1083024681?

NPI 1083024681 is classified under the taxonomy Dermatology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1083024681?

You can verify NPI 1083024681 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1083024681?

The primary practice address on file for NPI 1083024681 is 1440 N Harbor Blvd Ste 300, Fullerton, CA 92835-4116. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1083024681 issued?

NPI 1083024681 was first issued (enumerated) on 2014-05-05. The NPPES record was last updated on 2020-08-13.

Practice Location Map

Jennifer Ledon is located at 1440 N Harbor Blvd Ste 300, Fullerton, CA. Use the map below to find directions or verify the practice location.

📍 1440 N Harbor Blvd Ste 300, Fullerton, CA 92835-4116  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Jennifer Ledon. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1083024681. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
DermatologyA155843CA
Data Verified from CMS NPPES Last synced: 2026-06-20 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162