Provider Demographics
NPI:1003222035
Name:VELAZCO-YASUDA, YEZENIA ALICIA (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:YEZENIA
Middle Name:ALICIA
Last Name:VELAZCO-YASUDA
Suffix:
Gender:
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6213 E PEABODY ST
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90808-2826
Mailing Address - Country:US
Mailing Address - Phone:760-554-9506
Mailing Address - Fax:
Practice Address - Street 1:8800 ALONDRA BLVD STE C
Practice Address - Street 2:
Practice Address - City:BELLFLOWER
Practice Address - State:CA
Practice Address - Zip Code:90706-4355
Practice Address - Country:US
Practice Address - Phone:562-602-2508
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-10
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95033241363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily