=====================================================
General NPI Number Information
=====================================================
NPI Number | 1407724040
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | GILBERT VELUZ
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/27/2025
-----------------------------------------------------
Last Update Date | 10/27/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 16650 WYNDHAM LN UNIT 7
-----------------------------------------------------
City | FONTANA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92336-6146
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 562-276-9487
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 16650 WYNDHAM LN UNIT 7
-----------------------------------------------------
City | FONTANA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92336-6146
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 562-287-9487
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225200000X
-----------------------------------------------------
Taxonomy Name | Physical Therapy Assistant
-----------------------------------------------------
License Number | 51694
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------