Organization
JUAN M VELEZ, MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN MANUEL VELEZ MD (PRESIDENT)
(714) 997-9595
Entity
Organization
Contact information
Practice address
805 W LA VETA AVE STE 101, ORANGE, CA 92868-3928
(714) 997-9595
(714) 997-1098
Mailing address
805 W LA VETA AVE STE 101, ORANGE, CA 92868-3928
(714) 997-9595
(714) 997-1098
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
G67887
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OOG67887
—
CA
Enumeration date
04/01/2008
Last updated
04/01/2008
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