Provider Demographics
NPI:1598879082
Name:JONES, LEONARD P (MD)
Entity Type:Individual
Prefix:DR
First Name:LEONARD
Middle Name:P
Last Name:JONES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5832 PAINTER AVE
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90601-3737
Mailing Address - Country:US
Mailing Address - Phone:562-696-5985
Mailing Address - Fax:
Practice Address - Street 1:5200 S. SAN GABRIEL PL
Practice Address - Street 2:
Practice Address - City:PICO RIVERA
Practice Address - State:CA
Practice Address - Zip Code:90660-2460
Practice Address - Country:US
Practice Address - Phone:562-949-8411
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-19
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA431052084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A431051Medicaid
CAA85854Medicare UPIN
A43105Medicare ID - Type Unspecified