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Organization
VELASCO MEDICAL CORP
Active
Organization
VELASCO MEDICAL CORP
Active
Other names
Velasco Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR RENE VELASCO ANDRADE MD (PRESIDENT)
(310) 242-7696
Entity
Organization
Contact information
Practice address
1741 EASTLAKE PKWY STE 102-540, CHULA VISTA, CA 91915-2032
(619) 775-8017
Mailing address
1741 EASTLAKE PKWY STE 102-540, CHULA VISTA, CA 91915-2032
(619) 775-8017
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
10/29/2021
Last updated
10/29/2021
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