Provider Demographics
NPI:1487527115
Name:VELAZQUEZ, KARLA
Entity type:Individual
Prefix:
First Name:KARLA
Middle Name:
Last Name:VELAZQUEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3715 W 118TH ST # AT
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:CA
Mailing Address - Zip Code:90250-3230
Mailing Address - Country:US
Mailing Address - Phone:310-714-7298
Mailing Address - Fax:310-714-7298
Practice Address - Street 1:3715 W 118TH ST # AT
Practice Address - Street 2:
Practice Address - City:HAWTHORNE
Practice Address - State:CA
Practice Address - Zip Code:90250-3230
Practice Address - Country:US
Practice Address - Phone:310-714-7298
Practice Address - Fax:310-714-7298
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-29
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALG767233416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport