Individual
DR. ALFONSO VELASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4011 N FRESNO ST, STE 101, FRESNO, CA 93726-4028
(559) 227-6691
(559) 227-3765
Mailing address
4011 N FRESNO ST, STE 101, FRESNO, CA 93726-4028
(559) 227-6691
(559) 227-3765
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A29360
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A293600
—
CA
Enumeration date
06/15/2005
Last updated
02/24/2014
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