| Miriam A Velazquez, DO | |
|
999 San Bernardino Rd, Upland, CA 91786-4920 | |
| (909) 985-2811 | |
| Not Available |
| Full Name | Miriam A Velazquez |
|---|---|
| Gender | Female |
| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
| Location | 999 San Bernardino Rd, Upland, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063919249 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 20A19380 (California) | Primary |
| Entity Name | Excel Pathology |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053022277 PECOS PAC ID: 9436522646 Enrollment ID: O20230308001192 |
| Mailing Address | Practice Location Address |
|---|---|
| Miriam A Velazquez, DO 999 San Bernardino Rd, Upland, CA 91786-4920 Ph: (909) 981-2811 | Miriam A Velazquez, DO 999 San Bernardino Rd, Upland, CA 91786-4920 Ph: (909) 985-2811 |
Choon Sil Koo, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 999 San Bernardino Rd, Upland, CA 91786 Phone: 909-985-2811 Fax: 909-920-3827 | |
Dr. Dulce R Decastro, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 999 San Bernardino Rd, Upland, CA 91786 Phone: 909-985-2811 Fax: 909-920-3827 | |
Howard P Charman, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 999 San Bernardino Rd, Upland, CA 91786 Phone: 909-985-2811 Fax: 909-920-3827 |