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ALTHEA CRYSTAL VELASCO
1520 SAN PABLO ST 1ST FLOOR N LOS ANGELES CA 900335310
ALTHEA CRYSTAL VELASCO is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1902239718. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 6608092366. The primary specialty is NURSE PRACTITIONER. The organization is USC CARE MEDICAL GROUP INC. The address is 1520 SAN PABLO ST 1ST FLOOR N, , LOS ANGELES, CA, 900335310. The zip code is 900335310.
|Nation Provider ID||1902239718|
|PAC ID by PECOS||6608092366|
|Professional Enrollment ID||I20140801001401|
|Name||ALTHEA CRYSTAL VELASCO|
|Medical School Name||OTHER|
|Primary Specialty||NURSE PRACTITIONER|
|All secondary specialties|
|Organization Name||USC CARE MEDICAL GROUP INC|
|Group Practice PAC ID||446157747|
|Number of Group Practice members||127|
|Address||1520 SAN PABLO ST 1ST FLOOR N, , LOS ANGELES, CA, 900335310|
|Hospital affiliation LBN||UNIVERSITY OF SOUTHERN CALIFORNIA|