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NPI Code Detail

MEDICARE: GREGORIO VELEZ

MEDICARE: GREGORIO VELEZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker
21041C0700XClinical Social Worker137481CA

General Provider Information

NPI Number : 1023559077
Entity Type Code : Individual
Provider Name (Legal Business Name) : GREGORIO VELEZ
Provider Business Mailing Address
First Line : 255 9TH AVE APT 642
Second Line :
City : OAKLAND
State : CA
Zip : 94606-5137
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 629 OAKLAND AVE
Second Line :
City : OAKLAND
State : CA
Zip : 94611-4567
Country : US
Telephone Number : 510-601-0203
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2017
Last Update Date : 03/12/2026

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Directions to “ GREGORIO VELEZ ” Practice Location

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