MEDICARE: YUKI VELASCO

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
1	171100000X	Acupuncturist	AC12579	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	AC12579	OTHER	CA	CALIFORNIA ACUPUNCTURE BOARD

General Provider Information

NPI Number	:	1295973899
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YUKI VELASCO

Provider Business Mailing Address
First Line	:	1935 GATES ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90031-3151
Country	:	US
Telephone Number	:	323-222-8835
Fax Number	:

Provider Business Practice Location Address
First Line	:	1935 GATES ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90031-3151
Country	:	US
Telephone Number	:	323-222-8835
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/04/2009
Last Update Date	:	02/04/2009

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Directions to “ YUKI VELASCO ” Practice Location

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