Leon Bachoura, MD | |
1334 W Covina Blvd Ste 201, San Dimas, CA 91773-3211 | |
(909) 592-2078 | |
(909) 592-0279 |
Full Name | Leon Bachoura |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Location | 1334 W Covina Blvd Ste 201, San Dimas, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821167925 | NPI | - | NPPES |
00A361860 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | A361860 (California) | Primary |
Entity Name | Nader Kalantar, M.d., Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518429653 PECOS PAC ID: 8628303591 Enrollment ID: O20190715002110 |
Mailing Address | Practice Location Address |
---|---|
Leon Bachoura, MD 1334 W Covina Blvd Ste 201, San Dimas, CA 91773-3211 Ph: (909) 592-2078 | Leon Bachoura, MD 1334 W Covina Blvd Ste 201, San Dimas, CA 91773-3211 Ph: (909) 592-2078 |
Nader Kalantar, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1334 W Covina Blvd, Suite 201, San Dimas, CA 91773 Phone: 909-592-2078 Fax: 909-592-0279 | |
Dr. Lewit Worrell, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1334 W Covina Blvd Ste 101, San Dimas, CA 91773 Phone: 909-599-6611 Fax: 909-599-8390 |