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Organization
SIERRA WOMENS HEALTH ASSOCIATES INC
Active
Organization
SIERRA WOMENS HEALTH ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEONARD RUDOLPH LEON M.D. (PRESIDENT)
(530) 273-8486
Entity
Organization
Contact information
Practice address
280 SIERRA COLLEGE DRIVE, SUITE 125, GRASS VALLEY, CA 95945-5763
(530) 273-8486
Mailing address
280 SIERRA COLLEGE DRIVE, SUITE 125, GRASS VALLEY, CA 95945-5763
(530) 273-8486
(530) 271-0505
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
FNP37780
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3101935
CALIFORNIA CORPORATION NUMBER
CA
01
—
SIE0119
CITY OF GRASS VALLEY BUSINESS LICENSE
CA
Enumeration date
08/19/2008
Last updated
08/17/2017
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