NPI Code Detail JSON Logo

1336048099 NPI number — ELENA MARIE VELASQUEZ MA, AMFT

NPI Number: 1336048099
Health Care Provider/Practitioner: ELENA MARIE VELASQUEZ MA, AMFT

Information about “1336048099” NPI (ELENA MARIE VELASQUEZ MA, AMFT) exists in 1336048099 in HTML format HTML  |  1336048099 in plain Text format TXT  |  1336048099 in PDF (Portable Document Format) PDF  |  1336048099 in an XML format XML  formats.

NPI Number : 1336048099 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1336048099",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "VELASQUEZ",
    "FirstName": "ELENA",
    "MiddleName": "MARIE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MA, AMFT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "4351 HARBOR WAY UNIT 3",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "OCEANSIDE",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92056-5713",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "811 W 7TH ST STE 1200",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LOS ANGELES",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90017-3423",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "310-430-7324",
    "PracticeLocationAddressFaxNumber": "310-878-3678",
    "EnumerationDate": "11/02/2026",
    "LastUpdateDate": "11/02/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "106H00000X",
        "TaxonomyName": "Marriage & Family Therapist",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.