Individual provider · Type 1 NPI

Cristina Velasquez

Medical Physician Assistant · Ontario, CA

NPI number 1114735511 Active

Practice location

1151 E Walnut St
Ontario, CA 91761-6155

Mailing address

PO Box 3252
Ontario, CA 91761-0926

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA66224 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1114735511

Cristina Velasquez's National Provider Identifier is 1114735511, issued on Dec 19, 2024. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Ontario, CA. The record was last updated on Jul 12, 2025.