Doctor Name: | DR. DANIEL WALDO VELASQUEZ |
NPI Number: | 1396788386 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D |
License Number: | A52551 |
Business Practice Address: | 6529 Seville Ave Huntington Park, CA - 902555745 |
Business Phone Number: | 3235825770 |
Business Fax Number: | 3235821103 |
Mailing Address: | Po Box 253, DOWNEY |
State: | CA |
Postal Code: | 902410253 |
Phone Number: | 3235825770 |
Fax Number: | 3235821103 |
NPI Enumeration Date: | 06/14/2006 |
NPI Last Update Date: | 03/14/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A52551 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |