| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JORGE ANTONIO VELAZQUEZ FERNANDEZ | 1396454245 | 2022-11-18 |
Jorge Antonio Velazquez Fernandez is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1396454245. Registration indicates Jorge Antonio Velazquez Fernandez is a provider of services with a specialization in Other Service Providers, Case Manager/Care Coordinator (Case Manager/Care Coordinator, ) (All Other Specialties & Provider Types, ) (Case Manager/Care Coordinator, Other Service Providers)
| Entity Type | Individual |
| Provider Name | Jorge Antonio Velazquez Fernandez |
| Practice Office Address | 3491 KURTZ ST STE 150 SAN DIEGO, CA US |
| Practice Office Telephone | 6193202404 |
| Mailing Address | 3491 KURTZ ST STE 150 SAN DIEGO, CA 921104430 US |
| Business Telephone | 6193202404 |
| Code | Practice | License No State |
|---|---|---|
| 171M00000X PRIMARY | Other Service Providers Case Manager/Care Coordinator Case Manager/Care Coordinator All Other Specialties & Provider Types Case Manager/Care Coordinator Other Service Providers |