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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JERRY F LEANDADO, LVN

Active Sole Proprietor

Ambulatory Surgical Center · STOCKTON, CA

Registration Details

NPI Number
1477616910
Provider Type
Individual
Gender
Male
NPI Issued
Dec 18, 2006 (19.340055138472 yrs)
Last Updated
Jul 8, 2007
License
39-07 (CA)
Sole Proprietor
Yes

Practice Information

Address
1111 N EL DORADO ST
STOCKTON, CA, 952021305
Browse CA providers · Browse ZIP 95202
Phone
2099380228
Primary Specialty
Ambulatory Surgical Center
261QA1903X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.