Individual
MR. BILL VELASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATHLETIC TRAINER
Contact information
Practice address
27643 REDWOOD WAY, CASTAIC, CA 91384-4120
(310) 233-4116
(310) 233-4654
Mailing address
27643 REDWOOD WAY, CASTAIC, CA 91384-4120
(310) 233-4116
(310) 233-4654
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
CA
Other
Enumeration date
08/23/2006
Last updated
07/08/2007
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