Velazquez, Juan C

Velazquez, Juan C is an individual health care provider with primary practice located at 1590 S Imperial Ave , El Centro CA 92243-4241. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Velazquez, Juan C can be contacted via phone (760) 352-2551.

Contact Information

Primary practice address
1590 S Imperial Ave El Centro CA 92243-4241
Phone: (760) 352-2551
Fax: (888) 631-5150
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A053203 California

Profile Details

NPI number 1497812895
LBN Legal business name Velazquez, Juan C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2007
Last updated Sep 15th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497812895 NPPES
California MEDICAID FHC03830F
California MEDICAID 1609118041

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