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Contact Information

LESLIE C BALUYOT, MD
1540 FLORIDA AVE
#100
MODESTO, CA95350-4430
 Phone: 209-577-5557
 Fax: 209-577-8125
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Nuclear Cardiology

207UN0901X 36 Physician/Nuclear Medicine
Indicates primary specialty

NPI Profile & details for LESLIE C BALUYOT · (Male)

NPI Number 1134176381
Status Active
Credentials MD
Entity Individual
Enumeration date 05/30/2006
Last updated 12/13/2021 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CA License # G77685
  • CA Medicaid ZZZ76734Z
Hospital affiliation(s)
  • KAISER FOUNDATION HOSPITAL MANTECA - (Acute Care)
    1777 WEST YOSEMITE AVE
    MANTECA, CA 95337
  • ST JOSEPHS MED CENTER OF STOCKTON - (Acute Care)
    1800 N CALIFORNIA ST
    STOCKTON, CA 95204
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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