Individual
MR. ALVIN LESTER VENGCO LEONARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
12417 FAIR OAKS BLVD STE 600, FAIR OAKS, CA 95628-2500
(916) 727-1400
Mailing address
6651 MADISON AVE, CARMICHAEL, CA 95608-0602
(650) 296-1340
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
CA
Other
Enumeration date
02/03/2026
Last updated
02/06/2026
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