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

Leon Samuel Mancilla

Individual provider Peer Specialist · NPI 1376140590

Leon Samuel Mancilla is a Peer Specialist in San Diego, California. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

5555 Reservoir Dr
San Diego, CA 92120-5134
Phone: (619) 822-1800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1376140590
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 1, 2020
Last updated in NPPESOctober 1, 2020
Certification dateSeptember 17, 2020

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