Penelope Velasco MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

A74761 Issued in CA

Legal business name

PENELOPE VELASCO MD

Practice address

3660 E Imperial Hwy
Lynwood, CA 90262-2653

Phone

(310) 608-4898

Fax

(310) 608-4884

NPI assigned

Jun 4, 2007

Last updated

Jan 28, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Penelope Velasco, MD

Title

Owner

Phone

(310) 608-4898

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296172800000",
    "number": "1023210721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3660 E IMPERIAL HWY",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902622653",
            "telephone_number": "310-608-4898",
            "fax_number": "310-608-4884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3660 E IMPERIAL HWY",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902622653",
            "telephone_number": "310-608-4898",
            "fax_number": "310-608-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENELOPE VELASCO MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2011-01-28",
        "status": "A",
        "authorized_official_last_name": "VELASCO",
        "authorized_official_first_name": "PENELOPE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-608-4898",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A74761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Lynn Pedersen, MFT, PH.D.
• Pediatric and Family Medical Center (Eisner Pediatric and Family Medical Center)
• Tracy Flores Peeples, LCSW
• Drita I Peer
• Arturo Pelayo, MD
• Dalila Maribel Perdomo, BSW
• Graciela Perez Ponce
• Christina Perez
• Evelyn Perez, ASW
• Kelly Allin Perez, MSW, PPSC

• Obstetrics & Gynecology Physician in Lynwood, CA
• Providers in Lynwood, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.