Provider Demographics
NPI:1194373340
Name:CABALLES, LEYLARD SANTOS (HOME HEALTH AIDE)
Entity Type:Individual
Prefix:MR
First Name:LEYLARD
Middle Name:SANTOS
Last Name:CABALLES
Suffix:
Gender:M
Credentials:HOME HEALTH AIDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2272 ZORIA CIR
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95131-2634
Mailing Address - Country:US
Mailing Address - Phone:925-278-0836
Mailing Address - Fax:
Practice Address - Street 1:2272 ZORIA CIRCLE
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95131
Practice Address - Country:US
Practice Address - Phone:408-926-2265
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-30
Last Update Date:2019-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide