Provider Demographics
NPI:1992011894
Name:PEREZ-VELASCO, DANIELA JANELLE (DO)
Entity Type:Individual
Prefix:DR
First Name:DANIELA
Middle Name:JANELLE
Last Name:PEREZ-VELASCO
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:DANIELA
Other - Middle Name:JANELLE
Other - Last Name:BERMUDEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:3626 RUFFIN RD
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-1810
Mailing Address - Country:US
Mailing Address - Phone:858-495-2015
Mailing Address - Fax:858-565-9441
Practice Address - Street 1:3626 RUFFIN RD
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-1810
Practice Address - Country:US
Practice Address - Phone:858-495-2015
Practice Address - Fax:858-565-1810
Is Sole Proprietor?:No
Enumeration Date:2010-08-30
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCDO034746207L00000X
CA20A20861207L00000X, 207LP3000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP3000XAllopathic & Osteopathic PhysiciansAnesthesiologyPediatric Anesthesiology
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology