Individual
MR. JORGE LUIS VELAZQUEZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
680 E ALOSTA AVE, AZUSA, CA 91702-2705
(626) 812-9733
(626) 812-9745
Mailing address
680 E ALOSTA AVE, AZUSA, CA 91702-2717
(626) 812-9733
(626) 812-9745
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
15427
CA
Other
Enumeration date
11/10/2005
Last updated
07/08/2007
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