Individual
MAURO KWEK LEYBA JR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7085 N CHESTNUT AVE, SUITE 109, FRESNO, CA 93720-0353
(559) 299-2600
(559) 299-2854
Mailing address
7085 N CHESTNUT AVE, SUITE 109, FRESNO, CA 93720-0353
(559) 299-2600
(559) 299-2854
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
A41228
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A412280
—
CA
Enumeration date
06/22/2006
Last updated
02/21/2009
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