Provider Demographics
NPI:1346886538
Name:VELARDE, ALEXANDER JOHN (PA)
Entity Type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:JOHN
Last Name:VELARDE
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:10913 BOGARDUS AVE
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90603-3153
Mailing Address - Country:US
Mailing Address - Phone:562-217-1403
Mailing Address - Fax:
Practice Address - Street 1:25431 CABOT RD STE 110
Practice Address - Street 2:
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-5526
Practice Address - Country:US
Practice Address - Phone:949-716-1900
Practice Address - Fax:949-716-1919
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-21
Last Update Date:2023-06-23
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant