Provider Demographics
NPI:1992792378
Name:HELMBRECHT, LEON JAMES (MD)
Entity type:Individual
Prefix:
First Name:LEON
Middle Name:JAMES
Last Name:HELMBRECHT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:716 VALPARAISO DR
Mailing Address - Street 2:
Mailing Address - City:CLAREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:91711-1561
Mailing Address - Country:US
Mailing Address - Phone:909-623-3428
Mailing Address - Fax:909-622-1923
Practice Address - Street 1:160 E ARTESIA ST
Practice Address - Street 2:SUITE 220
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91767-2900
Practice Address - Country:US
Practice Address - Phone:909-623-3428
Practice Address - Fax:909-622-1923
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG15645208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G156450Medicaid
CAWG15645AMedicare ID - Type Unspecified
CAA89243Medicare UPIN