Skip Navigation

Provider Information for 1306070545

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

DR. LUZ SELENE VELASCO M.D.

Gender: FEMALE

Individual NPI: 1306070545

Calendar   Last Updated:  2015-11-04
  Certification Date: 

Details

Name Value
NPI 1306070545
Enumeration Date 2009-05-01
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 7515 VAN NUYS BLVD
VAN NUYS, CA 91405-1949
United States

Phone: 818-947-4026 | Fax:
View Map External Link
Primary Practice Address 7515 VAN NUYS BLVD
VAN NUYS, CA 91405-1949
United States

Phone: 818-947-4026 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 207Q00000X - Family Medicine CA A119007
No 390200000X - Student in an Organized Health Care Education/Training Program