Individual
ALEXIS FABIAN VELAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
757 WESTWOOD PLAZA, MEDICINE, LOS ANGELES, CA 90095-7419
(310) 825-7275
Mailing address
757 WESTWOOD PLAZA, MEDICINE, LOS ANGELES, CA 90095-7419
(310) 825-7275
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/29/2022
Last updated
03/29/2022
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