Organization
LEOPOLDO PUGA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEOPOLDO PUGA M.D. (PRESIDENT)
(661) 327-7842
Entity
Organization
Contact information
Practice address
3550 Q ST, SUITE #205, BAKERSFIELD, CA 93301-1662
(661) 327-7842
(661) 327-4757
Mailing address
PO BOX 22281, BAKERSFIELD, CA 93390-2281
(661) 327-7842
(661) 327-4757
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A85474
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A85474
STATE MEDICAL LICENSE
CA
Enumeration date
04/26/2016
Last updated
04/26/2016
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