Healthcare Provider Details

I. General information

NPI: 1992681035
Provider Name (Legal Business Name): VELOU VALMYR
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2025
Last Update Date: 08/13/2025
Certification Date: 08/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

351 S PATTERSON AVE
GOLETA CA
93111-2403
US

IV. Provider business mailing address

49 ANDERSON ST APT A
NAUGATUCK CT
06770-9204
US

V. Phone/Fax

Practice location:
  • Phone: 805-967-3411
  • Fax:
Mailing address:
  • Phone: 203-390-1272
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number95398421
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: