Individual
ALYSSA BIANCA TAN VELASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3505 BROADWAY, OAKLAND, CA 94611-5798
(510) 752-1200
Mailing address
3505 BROADWAY, OAKLAND, CA 94611-5798
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A164276
CA
Other
Enumeration date
04/11/2018
Last updated
09/15/2023
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