Individual
DR. OMAR VELASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 W CALIFORNIA BLVD, PASADENA, CA 91105-3010
(626) 352-1444
Mailing address
1206 BARFORD AVE, HACIENDA HEIGHTS, CA 91745-2303
(626) 392-1432
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
57046
AZ
207R00000X
Internal Medicine Physician
A168081
CA
208M00000X
Hospitalist Physician
Primary
A168081
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
450101
—
AZ
Enumeration date
07/02/2010
Last updated
07/08/2025
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