Bachoura, Leon

Bachoura, Leon is an sole proprietor health care provider with primary practice located at 1334 W Covina Blvd Ste 201 , San Dimas CA 91773-3211. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Bachoura, Leon can be contacted via phone (909) 592-2078.

Contact Information

Primary practice address
1334 W Covina Blvd Ste 201 San Dimas CA 91773-3211
Fax: (909) 592-0279
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X A361860 California

Profile Details

NPI number 1821167925
LBN Legal business name Bachoura, Leon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 6th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821167925 NPPES
California MEDICAID 00A361860

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