Individual
ANDREW V VELIKIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
3401 FARENHOLT AVE BLDG 14, SAN DIEGO, CA 92134-5291
(619) 532-5110
Mailing address
PO BOX 555657, CAMP PENDLETON, CA 92055-5657
(760) 725-8537
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/01/2022
Last updated
03/07/2023
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