Individual
EDWARD GEORGE VELAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
7777 MILLIKEN AVE, SUITE A, RANCHO CUCAMONGA, CA 91730-6780
(909) 948-8050
(909) 948-8061
Mailing address
7777 MILLIKEN AVE, SUITE A, RANCHO CUCAMONGA, CA 91730-6780
(909) 948-8050
(909) 948-8061
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10723
CA
Other
Enumeration date
04/17/2007
Last updated
08/18/2011
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