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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 ID1902239718
PAC ID by PECOS6608092366
Professional Enrollment IDI20140801001401
NameALTHEA CRYSTAL VELASCO
Medical School NameOTHER
Graduation Year2012
Primary SpecialtyNURSE PRACTITIONER
All secondary specialties
Organization NameUSC CARE MEDICAL GROUP INC
Group Practice PAC ID446157747
Number of Group Practice members127
Address1520 SAN PABLO ST 1ST FLOOR N, , LOS ANGELES, CA, 900335310
Hospital affiliation LBNUNIVERSITY OF SOUTHERN CALIFORNIA
Graduation Year2012
Contact Number8008722273
Email Address[Show_Email_ID]

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