Organization
JESUS LEON, MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESUS LEON M.D. (OWNER)
(831) 636-2650
Entity
Organization
Contact information
Practice address
911 SUNSET DR, HOLLISTER, CA 95023-5606
(831) 636-2650
(831) 636-2605
Mailing address
PO BOX 26570, FRESNO, CA 93729-6570
(559) 455-4042
(916) 533-0023
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
08/12/2015
Last updated
08/12/2015
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