Individual
JOSE VELOSO BALLESTEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
990 SONOMA AVE STE 2, SANTA ROSA, CA 95404-4813
(707) 636-8346
(707) 205-1008
Mailing address
990 SONOMA AVE STE 2, SANTA ROSA, CA 95404-4813
(707) 636-8346
(707) 205-1008
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
C52195
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0065700
—
CA
Enumeration date
06/15/2006
Last updated
03/26/2026
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