Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JENNIFER MUNSAYAC VELASCO
Active Sole ProprietorProcedural Dermatology · SOUTH PASADENA, CA
Registration Details
- NPI Number
- 1407533995
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 28, 2023 (2.816839392934 yrs)
- Last Updated
- Jul 2, 2024
- Licenses
-
95026633 (CA)95026633 (CA)95026633 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1401 MISSION ST UNIT C5SOUTH PASADENA, CA, 910303287Browse CA providers · Browse ZIP 91030
- Phone
- 7147676623
- Primary Specialty
-
Procedural Dermatology
207NS0135X
- Additional Specialty
- Pediatrics
- Additional Specialty
- Procedural Dermatology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.