Individual
MICHAEL ANTHONY VELASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3186 AIRWAY AVE STE J, COSTA MESA, CA 92626-4650
(949) 209-8979
Mailing address
3186 AIRWAY AVE STE J, COSTA MESA, CA 92626-4650
(562) 658-7939
Taxonomy
Speciality
Code
Description
License number
State
111NI0013X
Independent Medical Examiner Chiropractor
Primary
DC36070
CA
Other
Enumeration date
09/25/2021
Last updated
09/25/2021
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