Leon, Leonard Rudolph

Leon, Leonard Rudolph is an sole proprietor health care provider with primary practice located at 280 Sierra College Dr Suite 125, Grass Valley CA 95945-5763. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Leon, Leonard Rudolph can be contacted via phone (530) 273-8486.

Contact Information

Primary practice address
280 Sierra College Dr Suite 125 Grass Valley CA 95945-5763
Phone: (530) 273-8486
Fax: (530) 271-0505
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X G32693 California

Profile Details

NPI number 1942253299
LBN Legal business name Leon, Leonard Rudolph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 18th, 2006
Last updated Oct 9th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942253299 NPPES
California MEDICAID 00G326930

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