OrganizationActive
Dr Leonardo Chacon, M.D. Inc
NPI 1740495233 · Point of Service · Wilmington, CA
Provider details
- NPI number
- 1740495233
- Entity type
- Organization
- Primary specialty
- Point of ServiceManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Leonardo Chacon, President(310) 835-2147
- License
- A327050 (CA)
Specialties & taxonomies
Managed Care Organizations
Practice location
1721 Wilmington Blvd
Wilmington, CA 90744
Phone: (310) 835-2147
Approximate (ZIP-level) locationGet directions
Mailing address
28832 Leah Circle
Rancho Palos Verdes, CA 90275
Registry dates
- Enumerated
- 2007-05-10
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.