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1386062669
JONATHAN VELASQUEZ
SANTA MONICA, CA
NPI
1386062669
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A142862)
Enumeration Date
2014-04-02
Last Update Date
2019-05-29
Business Address
JONATHAN VELASQUEZ
1920 COLORADO AVE
SANTA MONICA, CA 90404-3414
Phone number: 310-319-4700
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Mailing Address
JONATHAN VELASQUEZ
1920 COLORADO AVE
SANTA MONICA, CA 90404-3414
Phone number:
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