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DE LEON MEDICAL CLINIC INC
NPI 1104258870
Internal Medicine in Honolulu, HI

Active since August 05, 2013CLIA 12D2035957 · Waiver
1520 LILIHA ST STE 203, HONOLULU, HI 96817(808) 528-3571(808) 528-0196 Get Directions Write a Review

NPPES record last updated: August 5, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About De Leon Medical Clinic Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DE LEON MEDICAL CLINIC INC (NPI 1104258870) is a healthcare organization registered as an internal medicine in Honolulu, Hawaii and active in the NPI registry since August 2013. The organization holds a CLIA Waiver certificate valid through January 26, 2028 and lists Jose C De Leon, President, as its authorized official.

NPPES Registry Identity

NPI1104258870
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameDE LEON MEDICAL CLINIC INC
Location Address1520 LILIHA ST STE 203Honolulu, HI 96817-3563
Mailing Address1520 Liliha St Ste 203Honolulu, HI 96817-3563 · (808) 528-3571 · Fax (808) 528-0196
Phone(808) 528-3571
Fax(808) 528-0196
Organization SubpartNo
Authorized OfficialJose C De LeonPresident · (808) 528-3571
Enumeration DateAugust 5, 2013
✔ NPI 1104258870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in HI · MD-3031
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1520 LILIHA ST STE 203, Honolulu, HI 96817
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Other Identifiers 2

Medicare UPIND43560
OtherMD-3031Hawaii License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 12D2035957

De Leon Medical Clinic Inc · Honolulu, HI
Active · expires Jan 26, 2028
CLIA Number12D2035957
Laboratory TypePhysician Office
Certificate Effective DateJanuary 27, 2026
Certificate Expiration DateJanuary 26, 2028
Laboratory DirectorJose C. De Leon
Laboratory Phone(808) 528-3471
Laboratory LocationDe Leon Medical Clinic Inc1520 Liliha St Ste 203, Honolulu, HI 96817
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is De Leon Medical Clinic Inc's NPI number?

The NPI number for De Leon Medical Clinic Inc is 1104258870. It was assigned to this organization in the NPPES registry on August 5, 2013.

Where is De Leon Medical Clinic Inc located?

De Leon Medical Clinic Inc is located at 1520 Liliha St Ste 203, Honolulu, HI 96817. The listed phone number is (808) 528-3571.

What is De Leon Medical Clinic Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does De Leon Medical Clinic Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 12D2035957) is associated with this NPI, valid through January 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for De Leon Medical Clinic Inc was last updated on August 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.