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Individual

LEILA CHAYCHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1660 SAN CARLOS AVE, SAN CARLOS, CA 94070-2022
(650) 591-9933
Mailing address
220 STANDIFORD AVE STE F, MODESTO, CA 95350-1159
(209) 579-5628
(209) 579-5637

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A127054
CA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
A127054
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A127054
MEDICAL LICENSE
CA
Enumeration date
04/14/2008
Last updated
07/27/2021
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