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NPI Code Detail

MEDICARE: JUAN LEOS

MEDICARE: JUAN LEOS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1373H00000XDay Training/Habilitation SpecialistCA

General Provider Information

NPI Number : 1316871254
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUAN LEOS
Provider Business Mailing Address
First Line : 3715 COLUMBUS ST
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93306-2719
Country : US
Telephone Number : 661-484-9193
Fax Number :
Provider Business Practice Location Address
First Line : 3715 COLUMBUS ST
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93306-2719
Country : US
Telephone Number : 661-484-9193
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2026
Last Update Date : 06/08/2026

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Directions to “ JUAN LEOS ” Practice Location

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