Provider Information for 1285099879
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
DANIELA VELASCO
Sex: Female
NPI: 1285099879
Last Updated: 2024-11-20
Certification Date: 2024-11-20
Certification Date: 2024-11-20
Details
| Name | Value | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1285099879 | ||||||||||||||
| Enumeration Date | 2015-12-23 | ||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||
| Sole Proprietor | NO | ||||||||||||||
| Status | Active | ||||||||||||||
| Mailing Address | 1721 GRIFFIN AVE LOS ANGELES, CA 90031-3312 United States Phone: 323-221-4134 | Fax: | ||||||||||||||
| Primary Practice Address | 1721 GRIFFIN AVE LOS ANGELES, CA 90031-3312 United States Phone: 323-221-4134 | Fax: | ||||||||||||||
| Secondary Practice Address(es) | |||||||||||||||
| Health Information Exchange |
| ||||||||||||||
| Other Identifiers |
| ||||||||||||||
| Taxonomy |
|