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NPI Code Detail

MEDICARE: ISAAC FERNANDO LEYVA

MEDICARE: ISAAC FERNANDO LEYVA
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
1101YP2500XProfessional CounselorAPCC20442CA

General Provider Information

NPI Number : 1871378158
Entity Type Code : Individual
Provider Name (Legal Business Name) : ISAAC FERNANDO LEYVA
Provider Business Mailing Address
First Line : 17300 CORKILL RD SPC 105
Second Line :
City : DESERT HOT SPRINGS
State : CA
Zip : 92241-9450
Country : US
Telephone Number : 760-288-6219
Fax Number :
Provider Business Practice Location Address
First Line : 333 S FARRELL DR
Second Line :
City : PALM SPRINGS
State : CA
Zip : 92262-7905
Country : US
Telephone Number : 760-894-4070
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2023
Last Update Date : 02/09/2026

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Directions to “ ISAAC FERNANDO LEYVA ” Practice Location

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