Individual
JESUS M LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
911 SUNSET DRIVE, HOLLISTER, CA 95023
(559) 455-4000
(559) 455-4005
Mailing address
911 SUNSET DR, HOLLISTER, CA 95023
(831) 636-2650
(831) 636-2605
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G48712
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G487120
—
CA
Enumeration date
05/03/2006
Last updated
07/03/2008
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