Healthcare Provider Details

I. General information

NPI: 1821963034
Provider Name (Legal Business Name): CYNTHIA VELASQUEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/07/2025
Last Update Date: 10/07/2025
Certification Date: 09/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1031 17TH STREET
BAKERSFIELD CA
93301-4703
US

IV. Provider business mailing address

147 HIGHLAND DR
BAKERSFIELD CA
93308-2513
US

V. Phone/Fax

Practice location:
  • Phone: 661-234-9894
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: