ISRAEL VELASCO

LOS ANGELES, CA
NPI1316383805
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2013-05-11
Last Update Date2013-08-30
Business Address
-- ISRAEL VELASCO RAS
2032 MARENGO ST
LOS ANGELES, CA 90033-1319
Phone number: 323-987-1034
Mailing Address
-- ISRAEL VELASCO RAS
2032 MARENGO STREET
LOS ANGELES, CA 90033
Phone number: 323-987-1034