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Individual

MR. MIGUEL ANGEL VELAZQUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AGACNP-BC, AGCNS-BC

Contact information

Practice address
757 WESTWOOD PLZ, LOS ANGELES, CA 90095-1804
(310) 825-8232
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95026204
CA
364S00000X
Clinical Nurse Specialist
5077
CA

Other

Enumeration date
11/28/2023
Last updated
06/03/2024
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