Individual
DR. LEONARDO C. CLAVIJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6 WOODLAND RD STE 304, SAINT HELENA, CA 94574-9562
(707) 963-7200
Mailing address
6 WOODLAND RD STE 304, SAINT HELENA, CA 94574-9562
(805) 782-8844
(805) 782-8859
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
A93873
CA
207RI0011X
Interventional Cardiology Physician
Primary
A93873
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A938730197
CAL OPTIMA
CA
01
—
GR0100430
GROUP MEDICAL
CA
01
—
P00400220
RAILROAD MEDICARE
CA
01
—
W11675
GROUP MEDICARE PIN
CA
01
—
W18762
GROUP MEDICARE
CA
Enumeration date
05/10/2006
Last updated
06/12/2024
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