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NPI Code Detail

MEDICARE: JOSE CESAR LEIVA

MEDICARE: JOSE CESAR LEIVA
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
1225400000XRehabilitation Practitioner
2373H00000XDay Training/Habilitation Specialist

General Provider Information

NPI Number : 1326581422
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSE CESAR LEIVA
Provider Business Mailing Address
First Line : 822 GEARY ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94109-7228
Country : US
Telephone Number : 628-216-0303
Fax Number :
Provider Business Practice Location Address
First Line : 822 GEARY ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94109-7228
Country : US
Telephone Number : 628-216-0303
Fax Number : 415-419-6196
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/22/2016
Last Update Date : 05/05/2025

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Directions to “ JOSE CESAR LEIVA ” Practice Location

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