# CESAR VELEZ MEDICAL GROUP INC

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

## Provider details

- **NPI number:** 1730231523
- **Authorized official:** DR. CESAR A VELEZ MD (PRESIDENT)
- **Authorized official phone:** (213) 482-8313

## Contact information

- **Practice address:** 1411 W SUNSET BLVD, SUITE 203, LOS ANGELES, CA 90026-3431
- **Practice address phone:** (213) 482-8313
- **Practice address fax:** (213) 481-8373
- **Mailing address:** 1411 W SUNSET BLVD, SUITE 203, LOS ANGELES, CA 90026-3431
- **Mailing address phone:** (213) 482-8313
- **Mailing address fax:** (213) 481-8373

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | A53490 | CA | Yes |

## Other

- **Enumeration date:** 01/18/2007
- **Last updated:** 07/08/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GR0102620 | — | CA |
| 01 | — | ZZZ50140Z | BLUE SHIELD | CA |