Individual
IRMA VELASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC, FNP-BC
Contact information
Practice address
1891 EFFIE ST, LOS ANGELES, CA 90026-1711
(323) 644-2000
Mailing address
6933 SANTA MONICA BLVD APT 307, LOS ANGELES, CA 90038-1193
(956) 451-6113
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1015581
TX
363LF0000X
Family Nurse Practitioner
1015581
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95028418
CA
390200000X
Student in an Organized Health Care Education/Training Program
95028418
CA
Other
Enumeration date
02/03/2021
Last updated
08/25/2025
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