Individual
MR. LEOPOLDO VELASCO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
6001 CLARA ST, BELL GARDENS, CA 90201-4723
(562) 806-5000
Mailing address
1919 VUELTA GRANDE AVE, LONG BEACH, CA 90815-3655
(562) 221-8205
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
631376
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
211003
CA
Other
Enumeration date
11/20/2006
Last updated
01/26/2017
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