Healthcare Provider Details

I. General information

NPI: 1013721513
Provider Name (Legal Business Name): ALMA DANICA VELEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/04/2025
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 E MEDA AVE STE 230
GLENDORA CA
91741-2624
US

IV. Provider business mailing address

150 E MEDA AVE STE 230
GLENDORA CA
91741-2624
US

V. Phone/Fax

Practice location:
  • Phone: 626-593-6306
  • Fax:
Mailing address:
  • Phone: 626-593-6306
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number127529
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: