Individual
CRISTINA VELASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1151 E WALNUT ST, ONTARIO, CA 91761-6155
(909) 467-1425
Mailing address
PO BOX 3252, ONTARIO, CA 91761-0926
(909) 816-1454
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA66224
CA
Other
Enumeration date
12/19/2024
Last updated
07/12/2025
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