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Organization
LEON FOREFRONT MEDICAL SERVICES INC.
Active
Organization
LEON FOREFRONT MEDICAL SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GINGER L LEON D.O. (PRESIDENT)
(714) 335-7495
Entity
Organization
Contact information
Practice address
5404 MORENO ST, MONTCLAIR, CA 91763-1667
(714) 335-7495
Mailing address
5404 MORENO ST, MONTCLAIR, CA 91763-1667
(714) 335-7495
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FL767Y
MEDICARE PTAN
CA
Enumeration date
07/06/2016
Last updated
02/02/2017
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