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Organization
JOHN PAUL II MEDICAL CLINIC INC
Active
Organization
JOHN PAUL II MEDICAL CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL WALDO VELASQUEZ MD (OWNER)
(323) 582-5770
Entity
Organization
Contact information
Practice address
6529 SEVILLE AVE, HUNTINGTON PARK, CA 90255-5745
(323) 582-5770
(323) 582-1103
Mailing address
PO BOX 253, DOWNEY, CA 90241-0253
(323) 582-5770
(323) 582-1103
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A052551
CA
Other
Enumeration date
05/17/2007
Last updated
06/21/2018
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