Individual provider · Type 1 NPI

Jorge Luis Velazquez, PA

Medical Physician Assistant · Azusa, CA

NPI number 1407837941 Active

Practice location

680 E Alosta Ave
Azusa, CA 91702-2705

Fax (626) 812-9745

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X15427 (CA)

Medical Physician Assistant: Definition to come...

2 other providers at this address

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About NPI 1407837941

Jorge Luis Velazquez, PA's National Provider Identifier is 1407837941, issued on Nov 10, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Azusa, CA. The record was last updated on Jul 13, 2026.