Provider Demographics
NPI:1235197716
Name:VELIZ, JOSE G (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSE
Middle Name:G
Last Name:VELIZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:970 W VALLEY PKWY
Mailing Address - Street 2:STE 401
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92025-2554
Mailing Address - Country:US
Mailing Address - Phone:760-489-1876
Mailing Address - Fax:760-871-0880
Practice Address - Street 1:255 N ELM ST
Practice Address - Street 2:STE 101
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025-3431
Practice Address - Country:US
Practice Address - Phone:760-489-1876
Practice Address - Fax:760-871-0880
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-03
Last Update Date:2009-08-21
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Provider Licenses
StateLicense IDTaxonomies
CAG71193208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWG71193CMedicare PIN
F67889Medicare UPIN
CA4554810001Medicare NSC