Leon Bachoura, M.D., Inc. in San Dimas - Specialist
Leon Bachoura, M.D., Inc. - NPI 1629143615
Leon Bachoura, M.D., Inc. is a Specialist in San Dimas, California. Leon Bachoura, M.D., Inc. practices all healthcare services and medical treatments related to Specialist. The NPI Number for Leon Bachoura, M.D., Inc. is 1629143615. The last update date is 2020-08-22.
Leon Bachoura, M.D., Inc.'s current location address is 1334 W Covina Blvd, San Dimas, California. You can contact this provider via phone number 9095922078 and fax number 9095920279. The mailing address for Leon Bachoura, M.D., Inc. is 1334 W Covina Blvd, San Dimas, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Leon Bachoura, M.D., Inc. |
|---|---|
| Address | 1334 W Covina Blvd, San Dimas, California |
| Phone Number | 9095922078 |
| Fax Number | 9095920279 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Bachoura Leon |
| Telephone Number | 9095922078 |
NPI Number Detail
| NPI Number | 1629143615 |
|---|---|
| Provider Enumeration Date | 2006-11-22 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1334 W Covina Blvd |
|---|---|
| City | San Dimas |
| State | California (CA) |
| Post Code | 917733211 |
| Phone Number | 9095922078 |
| Fax Number | 9095920279 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | A36186 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A361860 | CA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Leon Bachoura, M.D., Inc. by the Centers for Medicare & Medicaid Services?
The Leon Bachoura, M.D., Inc. has been issued the NPI (National Provider Identifier) 1629143615. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Leon Bachoura, M.D., Inc. is physically located?
The Leon Bachoura, M.D., Inc. is physically situated at the following address: 1334 W Covina Blvd, San Dimas, CA, 917733211.
What is Leon Bachoura, M.D., Inc.'s area of expertise and its corresponding taxonomy classification?
The Leon Bachoura, M.D., Inc.'s field of specialization is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1629143615 assigned to Leon Bachoura, M.D., Inc.?
The Leon Bachoura, M.D., Inc. was issued its 1629143615 on 2006-11-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Leon Bachoura, M.D., Inc. last refreshed?
The information related to the Leon Bachoura, M.D., Inc., including its address, specialty, and other relevant details, was last updated on 2020-08-22.