LEON BACHOURA M.D. INC. NPI 1629143615

NPI Information

  • NPI: 1629143615
  • Provider Name: LEON BACHOURA, M.D., INC.
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 1334 W COVINA BLVD
    SUITE 201
    SAN DIMAS, CA
    ZIP 91773
  • Phone: (909) 592-2078

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NPI Details

LEON BACHOURA, M.D., INC. is a specialist in San Dimas, CA. The provider is 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. LEON BACHOURA, M.D., INC. NPI is 1629143615. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1334 W COVINA BLVD
SUITE 201
SAN DIMAS, CA
ZIP 91773-211
Phone: (909) 592-2078
Fax: (909) 592-0279

The provider's authorized official is Leon Bachoura .
The authorized official title is President and has the following contact phone number (909) 592-2078.

The enumeration date for this NPI number is 11/22/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistA36186CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100A361860MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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