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NPI Code Detail

MEDICARE: YANIRA C VELAZQUEZ

MEDICARE:   YANIRA C VELAZQUEZ
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
1101Y00000XCounselor240025490CA

General Provider Information

NPI Number : 1497682678
Entity Type Code : Individual
Provider Name (Legal Business Name) : YANIRA C VELAZQUEZ
Provider Business Mailing Address
First Line : 8141 IDLEWOOD ST
Second Line :
City : OAKLAND
State : CA
Zip : 94605-3446
Country : US
Telephone Number : 510-397-9706
Fax Number :
Provider Business Practice Location Address
First Line : 1325 53RD AVE
Second Line :
City : OAKLAND
State : CA
Zip : 94601-5728
Country : US
Telephone Number : 510-397-9706
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2026
Last Update Date : 05/04/2026

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Directions to “ YANIRA C VELAZQUEZ ” Practice Location

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