Individual
JASMINE ANGELINA VELASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
12017 HERBERT ST, LOS ANGELES, CA 90066-5201
(310) 880-1150
Mailing address
14901 INGLEWOOD AVE, LAWNDALE, CA 90260-1251
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
BOC313355
CA
Other
Enumeration date
03/10/2020
Last updated
03/10/2020
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