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Individual

DR. LEONARDO PHILLIP VELAZQUEZ

Active
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Individual

DR. LEONARDO PHILLIP VELAZQUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DOCTOR OF OPTOMETRY

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
33873
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
33873
CALIFORNIA STATE BOARD OF OPTOMETRY
CA
Enumeration date
01/17/2018
Last updated
06/26/2026
About Stedi
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