MEDICARE: VELEZ CHIROPRACTIC INC

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	261QH0100X	Health Service Clinic/Center	DC30964	CA

General Provider Information

NPI Number	:	1609175942
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VELEZ CHIROPRACTIC INC

Provider Business Mailing Address
First Line	:	1843 7TH ST APT 2
Second Line	:
City	:	SANTA MONICA
State	:	CA
Zip	:	90401-3338
Country	:	US
Telephone Number	:	310-913-5581
Fax Number	:	866-936-7841

Provider Business Practice Location Address
First Line	:	2149 E GARVEY AVE N STE A5
Second Line	:
City	:	WEST COVINA
State	:	CA
Zip	:	91791-1508
Country	:	US
Telephone Number	:	626-233-6366
Fax Number	:	866-936-7841

Authorized Official
Title or Position	:	CHIROPRACTOR
Name	:	DR. HELMER VELEZ
Credential	:	D.C.
Telephone Number	:	626-755-1430

Provider Enumeration Date	:	03/25/2011
Last Update Date	:	11/05/2020

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