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NPI Code Detail

MEDICARE: NANCY VELASQUEZ

MEDICARE: NANCY VELASQUEZ
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
1174H00000XHealth Educator

General Provider Information

NPI Number : 1295094993
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY VELASQUEZ
Provider Business Mailing Address
First Line : 2720 S BRISTOL ST
Second Line : SUITE 200
City : SANTA ANA
State : CA
Zip : 92704-6207
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2720 S BRISTOL ST
Second Line : SUITE 200
City : SANTA ANA
State : CA
Zip : 92704-6207
Country : US
Telephone Number : 714-426-5127
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2012
Last Update Date : 10/20/2015

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Directions to “ NANCY VELASQUEZ ” Practice Location

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