After an approximately 8 year evaluation of Dr. Pugas Performance as a Medical provider I have come to the conclusion that his aptitude, competency, and knowledge is very limited as a cardiologist. Dr. Leopoldo Puga, MD is a Physician in Bakersfield, CA and has only been practicing for 9 years. He graduated from Universidad Autonoma De Guadalajara, Facultad De Medicina in 1995, so his "so called medical studies" are based on Mexico's medical technology and training that is still 20 years behind the US in Medical Technology and new discoveries. In an approximately 8 year span. Medicare and Medical has dished out thousands of dollars in to his clinic on lame consultations, and I mean lame because his competency as a so called " Cardiology specialist" is no higher that a regular family flu doctor, but yet charging insurance a specialist fee. I had decided to stay silent on this concern, but there are two major reasons that encouraged me to bring these concerns to light. After having a long medical history and so called various tests, and medical evaluation, Dr Puga has not been able to control something as simple as, BLOOD PRESSURE he has been noticed as using the hit and miss theory to see which medication is the best, while my family member is still suffering from extreme high blood pressure for the past month. When he tries different blind methods of meds or instructions and then don't work, he (Dr Puga) then blames the patient or the family member for not following his instructions, and unless you face him with a very friendly smile, he will be arrogant, rude, and authoritative. the second reason for my complaint that broke the camel's back to also cause me to write this review was that his staff is only friendly if you do not protest against a wrong doing, or complaint. Real Example: I called recently to request medical records, and I spoke to a so called Cindy (Doctors assistant) I mean so called because I don't know if she gave me her true name, she screamed at me demanding an explanation on why I wanted medical records, My response was to obtain a second opinion, so she angrily questioned me, why are you leaving Dr Puga? so I honestly responded "due to his lack of aptitude medical incompetence", she responded in a high tone and angry voice, "well if you want medical records they are going to cost you a big price", so then I responded "never mind, I will just go to our new Cardiologist and have them fax the release form". She responded "AHHH so you don't want the medical record to cost you anything HA? you want everything for free?" to sum it up I found a Cardiologist in Bakersfield which is considered among the best three in the county. Again for those existing patients, a word to the wise, do not continue to contribute in making Dr Puga a wealthy man from this point on, all he tries to sell his patients is so called "charisma" and Charisma is not going to cure you . High blood pressure is a silent killer and once you're gone, your gone. And as to my recommendation to all new looking and existing patients for a true cardiac specialist among the best three in Kern county I am now visiting Aggarwal Atul MD Cardiology Clinic 9330 Stockdale Hwy #200, Bakersfield, CA 93311 Phone: (661) 664-0100 read more