LEON BACHOURA, M.D., INC.
NPI 1629143615
Specialist in San Dimas, CA

Q: What is the provider's specialty?

The provider's specialty is Specialist with taxonomy code 174400000X.

Active since November 22, 2006

1334 W COVINA BLVD, SUITE 201, SAN DIMAS, CA 91773(909) 592-2078(909) 592-0279 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Leon Bachoura, M.d., Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEON BACHOURA, M.D., INC. (NPI 1629143615) is a healthcare organization registered as a specialist in San Dimas, California and active in the NPI registry since November 2006. The organization lists Leon Bachoura, President, as its authorized official.

NPPES Registry Identity

NPI1629143615

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameLEON BACHOURA, M.D., INC.

Location Address1334 W COVINA BLVD, SUITE 201San Dimas, CA 91773-3211

Mailing Address1334 W Covina Blvd, Suite 201San Dimas, CA 91773-3211 · (909) 592-2078 · Fax (909) 592-0279

Phone(909) 592-2078

Fax(909) 592-0279

Organization SubpartNo

Authorized OfficialLeon BachouraPresident · (909) 592-2078

Enumeration DateNovember 22, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1629143615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in CA · A36186

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.

1334 W COVINA BLVD, San Dimas, CA 91773

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Other Identifiers 1

Medicaid00A361860CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP