Individual
MR. JUAN A VELAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COMUNITY WORKER
Contact information
Practice address
100 OCEANGATE, STE 550, LONG BEACH, CA 90802-4312
(310) 951-6829
Mailing address
100 OCEANGATE, SUITE 550, LONG BEACH, CA 90802-4312
(562) 435-3037
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
06/02/2015
Last updated
05/13/2025
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