| Jennifer R Velazquez, | |
|
12622 Dunas Rd, Santa Ana, CA 92705-1237 | |
| (714) 420-0360 | |
| Not Available |
| Full Name | Jennifer R Velazquez |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 12622 Dunas Rd, Santa Ana, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851904429 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 94580 (California) | Primary |
| Entity Name | Fusion Care Group A Psychological Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275177982 PECOS PAC ID: 8921433590 Enrollment ID: O20200109000932 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer R Velazquez, 12622 Dunas Rd, Santa Ana, CA 92705-1237 Ph: (714) 420-0360 | Jennifer R Velazquez, 12622 Dunas Rd, Santa Ana, CA 92705-1237 Ph: (714) 420-0360 |
Claudia Naxhielli Flores, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 525 Cabrillo Park Dr Ste 300, Santa Ana, CA 92701 Phone: 714-953-4455 | |
Vielka Pamerleau, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 525 Cabrillo Park Dr Ste 300, Santa Ana, CA 92701 Phone: 714-953-4455 | |
Amber Khan, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1801 Park Court Pl Bldg H, Santa Ana, CA 92701 Phone: 714-957-1004 | |
Michelle Elaine Glinski, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 200 W Santa Ana Blvd Ste 100, Santa Ana, CA 92701 Phone: 714-480-4637 | |
Mayra Alejandra Hernandez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1030 W Warner Ave, Santa Ana, CA 92707 Phone: 714-957-0611 | |
Lynn M Kleist, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3631 S Harbor Blvd Ste 200, Santa Ana, CA 92704 Phone: 657-356-6687 Fax: 657-356-6290 | |
Sandra S Rosen, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 405 W 5th St, Suite 550, Santa Ana, CA 92701 Phone: 714-834-4707 |