Individual
GUSTAVO EDUARDO VELASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Contact information
Practice address
995 POTRERO AVENUE, BUILDING 80, 6TH FLOOR, WARD 86, SAN FRANCISCO, CA 94110
(628) 206-2400
Mailing address
995 POTRERO AVENUE, BUILDING 80, 6TH FLOOR, WARD 86, SAN FRANCISCO, CA 94110
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
C173871
CA
207RI0200X
Infectious Disease Physician
254456
MA
207RI0200X
Infectious Disease Physician
Primary
C173871
CA
Other
Enumeration date
06/26/2009
Last updated
04/02/2026
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