# JOHN PAUL II MEDICAL CLINIC INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033326863
- **Authorized official:** DANIEL WALDO VELASQUEZ MD (OWNER)
- **Authorized official phone:** (323) 582-5770

## Contact information

- **Practice address:** 6529 SEVILLE AVE, HUNTINGTON PARK, CA 90255-5745
- **Practice address phone:** (323) 582-5770
- **Practice address fax:** (323) 582-1103
- **Mailing address:** PO BOX 253, DOWNEY, CA 90241-0253
- **Mailing address phone:** (323) 582-5770
- **Mailing address fax:** (323) 582-1103

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | A052551 | CA | Yes |

## Other

- **Enumeration date:** 05/17/2007
- **Last updated:** 06/21/2018