Individual
MR. RICHARD MICHAEL VELA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
23961 CALLE DE LA MAGDALENA STE 405, LAGUNA HILLS, CA 92653-3683
(949) 588-5800
Mailing address
17322 ALMELO LN, HUNTINGTON BEACH, CA 92649-4621
(949) 812-8055
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA60566
CA
363AS0400X
Surgical Physician Assistant
Primary
PA60566
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/29/2021
Last updated
04/12/2022
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