Organization
ANTERO VELEZ MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTERO VELEZ MD (OWNER)
(818) 310-3293
Entity
Organization
Contact information
Practice address
21301 ERWIN ST UNIT 237, WOODLAND HILLS, CA 91367-3789
(818) 310-3293
Mailing address
21301 ERWIN ST UNIT 237, WOODLAND HILLS, CA 91367-3789
(818) 310-3293
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A30678
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A30678
—
CA
Enumeration date
12/14/2015
Last updated
10/07/2016
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