Provider Demographics
NPI:1689834368
Name:SAMORA, LEONARD STEVEN (CAODC)
Entity Type:Individual
Prefix:MR
First Name:LEONARD
Middle Name:STEVEN
Last Name:SAMORA
Suffix:
Gender:M
Credentials:CAODC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49774 ROAD 426
Mailing Address - Street 2:SUITE D
Mailing Address - City:OAKHURST
Mailing Address - State:CA
Mailing Address - Zip Code:93644-8690
Mailing Address - Country:US
Mailing Address - Phone:559-683-4809
Mailing Address - Fax:559-683-6499
Practice Address - Street 1:49774 ROAD 426
Practice Address - Street 2:SUITE D
Practice Address - City:OAKHURST
Practice Address - State:CA
Practice Address - Zip Code:93644-8690
Practice Address - Country:US
Practice Address - Phone:559-683-4809
Practice Address - Fax:559-683-6499
Is Sole Proprietor?:No
Enumeration Date:2008-06-16
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAFACT#242101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)