Healthcare Provider Details

I. General information

NPI: 1992001010
Provider Name (Legal Business Name): VEL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2011
Last Update Date: 12/02/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3835 AVOCADO BLVD 100
LA MESA CA
91941-8525
US

IV. Provider business mailing address

PO BOX 500647
SAN DIEGO CA
92150-0647
US

V. Phone/Fax

Practice location:
  • Phone: 619-670-1625
  • Fax: 619-660-0351
Mailing address:
  • Phone: 619-981-7009
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHY50338
License Number StateCA

VIII. Authorized Official

Name: NARAN KERAI
Title or Position: PRESIDENT
Credential:
Phone: 619-981-7009