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NPI Code Detail

MEDICARE: MRS. MARIA ISABEL VELASCO CADCII

MEDICARE: MRS. MARIA ISABEL VELASCO CADCII
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
1101YA0400XAddiction (Substance Use Disorder) CounselorV0605241111CA

General Provider Information

NPI Number : 1942414172
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARIA ISABEL VELASCO CADCII
Provider Business Mailing Address
First Line : 477 N COLONIA DE LAS PALMAS BLDG 19
Second Line :
City : LOS ANGELES
State : CA
Zip : 90022-1310
Country : US
Telephone Number : 323-371-8980
Fax Number :
Provider Business Practice Location Address
First Line : 3421 E OLYMPIC BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90023-3030
Country : US
Telephone Number : 323-262-1786
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2007
Last Update Date : 05/30/2025

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Directions to “ MRS. MARIA ISABEL VELASCO CADCII” Practice Location

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