Miriam A Velazquez, DO | |
999 San Bernardino Rd, Upland, CA 91786-4920 | |
(909) 985-2811 | |
Not Available |
Full Name | Miriam A Velazquez |
---|---|
Gender | Female |
Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
Location | 999 San Bernardino Rd, Upland, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063919249 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 20A19380 (California) | Primary |
Entity Name | Excel Pathology |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053022277 PECOS PAC ID: 9436522646 Enrollment ID: O20230308001192 |
Mailing Address | Practice Location Address |
---|---|
Miriam A Velazquez, DO 999 San Bernardino Rd, Upland, CA 91786-4920 Ph: (909) 981-2811 | Miriam A Velazquez, DO 999 San Bernardino Rd, Upland, CA 91786-4920 Ph: (909) 985-2811 |
Choon Sil Koo, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 999 San Bernardino Rd, Upland, CA 91786 Phone: 909-985-2811 Fax: 909-920-3827 | |
Dr. Dulce R Decastro, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 999 San Bernardino Rd, Upland, CA 91786 Phone: 909-985-2811 Fax: 909-920-3827 | |
Howard P Charman, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 999 San Bernardino Rd, Upland, CA 91786 Phone: 909-985-2811 Fax: 909-920-3827 |