Individual
CARLOS VELASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
202 N 8TH ST, EL CENTRO, CA 92243-2302
(442) 265-7200
Mailing address
202 N 8TH ST, EL CENTRO, CA 92243-2302
(442) 265-7200
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
225C00000X
Rehabilitation Counselor
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000
ICBHS
—
Enumeration date
10/04/2021
Last updated
05/07/2026
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