Individual
DR. GREGORY CLIFTON TESLUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 E ORANGEBURG AVE STE 2, MODESTO, CA 95350-5365
(209) 526-3000
(209) 526-3133
Mailing address
3424 WYCLIFFE DR, MODESTO, CA 95355-4742
(209) 526-5121
Taxonomy
Speciality
Code
Description
License number
State
156FX1100X
Ophthalmic Technician/Technologist
C41824
CA
207W00000X
Ophthalmology Physician
Primary
C418240
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C418240
—
CA
Enumeration date
07/20/2006
Last updated
09/11/2025
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