Kenneth Velasquez in Colton - Physician Assistant
Kenneth Velasquez - NPI 1578787917
Kenneth Velasquez is a Physician Assistant in Colton, California. Kenneth Velasquez practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kenneth Velasquez is 1578787917. The last update date is 2007-07-08.
Kenneth Velasquez's current location address is 400 N Pepper Ave, Colton, California. You can contact this provider via phone number 9095806330 and fax number 9095806369. The mailing address for Kenneth Velasquez is 400 N Pepper Ave, Colton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Velasquez |
|---|---|
| Address | 400 N Pepper Ave, Colton, California |
| Phone Number | 9095806330 |
| Fax Number | 9095806369 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1578787917 |
|---|---|
| Provider Enumeration Date | 2007-04-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 400 N Pepper Ave |
|---|---|
| City | Colton |
| State | California (CA) |
| Post Code | 923241801 |
| Phone Number | 9095806330 |
| Fax Number | 9095806369 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA12714 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Post Comment/ Review Below
What is the Kenneth Velasquez's unique identification number?
The Kenneth Velasquez has been assigned the NPI (National Provider Identifier) Number 1578787917 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Kenneth Velasquez?
The Kenneth Velasquez is physically situated at 400 N Pepper Ave, in the city of Colton, state of CA, with the postal code 923241801.
What is the Kenneth Velasquez's area of specialization and corresponding taxonomy classification?
The Kenneth Velasquez's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1578787917 to Kenneth Velasquez?
The Centers for Medicare & Medicaid Services assigned the 1578787917 to Kenneth Velasquez on 2007-04-13.
As of what date were the details pertaining to Kenneth Velasquez last refreshed?
The information related to the Kenneth Velasquez, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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