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Leon Bachoura, M.d., Inc.
Specialist in San Dimas, California
NPI 1629143615

Leon Bachoura, M.d., Inc. is a Specialist based in San Dimas, CA. Leon Bachoura, M.d., Inc. practices in San Dimas, CA. The NPI Number for Leon Bachoura, M.d., Inc. is 1629143615 and holds a License No. A36186 (California).

The current practice location address for Leon Bachoura, M.d., Inc. is 1334 W Covina Blvd, San Dimas, CA and can be reached out via phone at 909-592-2078 and via fax at 909-592-0279.

Location: 1334 W Covina Blvd, San Dimas, CA, 91773-3211
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629143615
Provider Name
Leon Bachoura, M.d., Inc.
Credential
Provider Entity Type
Organization
Address
1334 W Covina Blvd, San Dimas, CA, 91773-3211
Phone Number
909-592-2078
Fax Number
909-592-0279
Provider Enumeration Date
11/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A361860 05 CA
institution
Provider Business Practice Location Address Details
Address
1334 W Covina Blvd
City
San Dimas
State
California
Zip
91773-3211
Phone Number
909-592-2078
Fax Number
909-592-0279
person
Provider Business Mailing Address Details
Address
1334 W Covina Blvd
City
San Dimas
State
California
Zip
91773-3211
Phone Number
909-592-2078
Fax Number
909-592-0279
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
A36186 (California)
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.
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