Organization
JOHN PAUL II MEDICAL CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL WALDO VELASQUEZ MD (OWNER)
(323) 582-5770
Entity
Organization
Contact information
Practice address
6529 SEVILLE AVE, HUNTINGTON PARK, CA 90255-5745
(323) 582-5770
(323) 582-1103
Mailing address
PO BOX 253, DOWNEY, CA 90241-0253
(323) 582-5770
(323) 582-1103
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A052551
CA
Other
Enumeration date
05/17/2007
Last updated
06/21/2018
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