Velasco, Carlos R
Velasco, Carlos R is an sole proprietor health care provider with primary practice located at 225 W Broadway Ste 155 , Glendale CA 91204-1332. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Velasco, Carlos R can be contacted via phone (818) 441-7800.Contact Information
Primary practice address
225 W Broadway Ste 155
Glendale CA 91204-1332
Phone: (818) 441-7800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 5800 | California |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 5800 | California |
Profile Details
| NPI number | 1528460508 |
|---|---|
| LBN Legal business name | Velasco, Carlos R |
| Credentials | LPCC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 21st, 2014 |
| Last updated | Mar 3rd, 2026 - about 8 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528460508 | NPPES |
| California | Other | LPCC5800 | BOARD OF BEHAVIOR SCIENCES |
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