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NPI Code Detail

MEDICARE: DAISY VELAZCO

MEDICARE: DAISY VELAZCO
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
1104100000XSocial Worker103905CA

General Provider Information

NPI Number : 1750055836
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAISY VELAZCO
Provider Business Mailing Address
First Line : 4850 PEDLEY RD
Second Line :
City : JURUPA VALLEY
State : CA
Zip : 92509
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3924 RIVERVIEW DR
Second Line :
City : JURUPA VALLEY
State : CA
Zip : 92509-6611
Country : US
Telephone Number : 951-416-1111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2021
Last Update Date : 02/17/2026

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Directions to “ DAISY VELAZCO ” Practice Location

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