| Leon Forefront Medical Services Inc. | |
|
5404 Moreno St Montclair CA 91763-1667 | |
| (714) 335-7495 | |
| Not Available |
| Full Name | Leon Forefront Medical Services Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 5404 Moreno St, Montclair, California |
| Authorized Official Name and Position | Ginger L Leon (PRESIDENT) |
| Authorized Official Contact | 7143357495 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leon Forefront Medical Services Inc. 5404 Moreno St Montclair CA 91763-1667 Ph: (714) 335-7495 | Leon Forefront Medical Services Inc. 5404 Moreno St Montclair CA 91763-1667 Ph: (714) 335-7495 |
| NPI Number | 1588016364 |
|---|---|
| Provider Enumeration Date | 07/06/2016 |
| Last Update Date | 02/02/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588016364 | NPI | - | NPPES |
| FL767Y | Other | CA | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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