Organization
CESAR VELEZ MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CESAR A VELEZ MD (PRESIDENT)
(213) 482-8313
Entity
Organization
Contact information
Practice address
1411 W SUNSET BLVD, SUITE 203, LOS ANGELES, CA 90026-3431
(213) 482-8313
(213) 481-8373
Mailing address
1411 W SUNSET BLVD, SUITE 203, LOS ANGELES, CA 90026-3431
(213) 482-8313
(213) 481-8373
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A53490
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0102620
—
CA
01
—
ZZZ50140Z
BLUE SHIELD
CA
Enumeration date
01/18/2007
Last updated
07/08/2008
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