| Juan M Velez, Md, Inc | |
|
805 W La Veta Ave Ste 101 Orange CA 92868-3928 | |
| (714) 997-9595 | |
| (714) 997-1098 |
| Full Name | Juan M Velez, Md, Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 805 W La Veta Ave Ste 101, Orange, California |
| Authorized Official Name and Position | Juan Manuel Velez (PRESIDENT) |
| Authorized Official Contact | 7149979595 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Juan M Velez, Md, Inc 805 W La Veta Ave Ste 101 Orange CA 92868-3928 Ph: (714) 997-9595 | Juan M Velez, Md, Inc 805 W La Veta Ave Ste 101 Orange CA 92868-3928 Ph: (714) 997-9595 |
| NPI Number | 1265604078 |
|---|---|
| Provider Enumeration Date | 04/01/2008 |
| Last Update Date | 04/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265604078 | NPI | - | NPPES |
| OOG67887 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | G67887 (California) | Primary |
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