Individual
EDER ADRIAN LEYVA VELAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1700 COFFEE RD, MODESTO, CA 95355-2803
(209) 526-4500
Mailing address
5960 S LAND PARK DR # 1186, SACRAMENTO, CA 95822-3313
(916) 426-8220
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA68330
CA
Other
Enumeration date
07/13/2026
Last updated
07/13/2026
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