| Jose Fernando Velasquez Saldarriaga Md | |
|
23141 Verdugo Dr Ste 201 Laguna Hills CA 92653-1341 | |
| (949) 215-5055 | |
| (949) 326-5099 |
| Full Name | Jose Fernando Velasquez Saldarriaga Md |
|---|---|
| Speciality | Family Medicine |
| Location | 23141 Verdugo Dr Ste 201, Laguna Hills, California |
| Authorized Official Name and Position | Jose Fernando Velasquez (OWNER CEO) |
| Authorized Official Contact | 9492155055 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jose Fernando Velasquez Saldarriaga Md 23141 Verdugo Dr Ste 201 Laguna Hills CA 92653-1341 Ph: (949) 215-5055 | Jose Fernando Velasquez Saldarriaga Md 23141 Verdugo Dr Ste 201 Laguna Hills CA 92653-1341 Ph: (949) 215-5055 |
| NPI Number | 1245917244 |
|---|---|
| Provider Enumeration Date | 06/30/2023 |
| Last Update Date | 11/27/2023 |
| Medicare PECOS PAC ID | 1850752403 |
|---|---|
| Medicare Enrollment ID | O20230731001551 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245917244 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jose Fernando Velasquez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053897561 PECOS PAC ID: 7517369804 Enrollment ID: I20210708002967 |
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