Organization
PENELOPE VELASCO MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PENELOPE VELASCO MD (OWNER)
(310) 608-4898
Entity
Organization
Contact information
Practice address
3660 E IMPERIAL HWY, LYNWOOD, CA 90262-2653
(310) 608-4898
(310) 608-4884
Mailing address
3660 E IMPERIAL HWY, LYNWOOD, CA 90262-2653
(310) 608-4898
(310) 608-4884
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A74761
CA
Other
Enumeration date
06/04/2007
Last updated
01/28/2011
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