Provider Demographics
NPI:1336238203
Name:SONES, LEON I (MD)
Entity Type:Individual
Prefix:DR
First Name:LEON
Middle Name:I
Last Name:SONES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:435 N BEDFORD DR
Mailing Address - Street 2:#400
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-4335
Mailing Address - Country:US
Mailing Address - Phone:310-276-6701
Mailing Address - Fax:310-446-0018
Practice Address - Street 1:435 N BEDFORD DR
Practice Address - Street 2:#400
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-4335
Practice Address - Country:US
Practice Address - Phone:310-276-6701
Practice Address - Fax:310-446-0018
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA171012084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA17101Medicare ID - Type Unspecified
CAA81769Medicare UPIN