Individual
ANGELO ONG-VELOSO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1840 MESQUITE AVE, STE B, LAKE HAVASU CITY, AZ 86403-5771
(928) 453-8500
(928) 453-5556
Mailing address
1840 MESQUITE AVE, STE B, LAKE HAVASU CITY, AZ 86403-5771
(928) 453-8500
(928) 453-5556
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
26164
AZ
207R00000X
Internal Medicine Physician
Primary
26164
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110215166
RAILROAD MEDICARE
AZ
Enumeration date
08/10/2005
Last updated
05/13/2010
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