| Samuel O. Leon, M.d. | |
|
560 W Grangeville Blvd Suite C Hanford CA 93230-2866 | |
| (559) 583-1110 | |
| (559) 583-1121 |
| Full Name | Samuel O. Leon, M.d. |
|---|---|
| Speciality | Family Medicine |
| Location | 560 W Grangeville Blvd, Hanford, California |
| Authorized Official Name and Position | Samuel O Leon (MD) |
| Authorized Official Contact | 5595831110 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel O. Leon, M.d. 560 W Grangeville Blvd Suite C Hanford CA 93230-2866 Ph: (559) 583-1110 | Samuel O. Leon, M.d. 560 W Grangeville Blvd Suite C Hanford CA 93230-2866 Ph: (559) 583-1110 |
| NPI Number | 1851537351 |
|---|---|
| Provider Enumeration Date | 01/05/2009 |
| Last Update Date | 08/03/2009 |
| Medicare PECOS PAC ID | 7517010259 |
|---|---|
| Medicare Enrollment ID | O20090729000142 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851537351 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A73337 (California) | Primary |
| Provider Name | Samuel O Leon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265486070 PECOS PAC ID: 5092606509 Enrollment ID: I20040325001281 |
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