Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Eric Leon Celo, MD

Individual provider Family Medicine Physician · NPI 1275576845

Dr. Eric Leon Celo, MD is an Internal Medicine in Los Angeles, California. Qualified in 1986, 40 years ago. Practices with Gracelight Community Health, a 25-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
40
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4618 Fountain Ave
Los Angeles, CA 90029-1963
Phone: (323) 953-7170
Fax: (323) 663-2379
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A53736 (CA)

Record details

NPI number1275576845
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 13, 2006
Last updated in NPPESFebruary 25, 2020
Certification dateFebruary 25, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Group practice Gracelight Community Health — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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