Healthcare Provider Details

I. General information

NPI: 1992625024
Provider Name (Legal Business Name): ALEK LEDESMA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6192 N MITRE AVE
FRESNO CA
93722-3202
US

IV. Provider business mailing address

6192 N MITRE AVE
FRESNO CA
93722-3202
US

V. Phone/Fax

Practice location:
  • Phone: 559-581-8292
  • Fax:
Mailing address:
  • Phone: 559-581-8292
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: