Most Relevant Information
Provider Data
| NPI Number: | 1003461195 |
| Provider Name: | KEVIN HUERTA VELAZQUEZ MSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/06/2019 |
| Last Updated: | 06/23/2021 |
Provider Practice Location
1119 E CUMBERLAND RD
ORANGE
CA
928653505
Practice Location Phone/Fax
| Phone: | 7144576686 |
| Fax: |
Provider Mailing Location
208 N LEMON ST
FULLERTON
CA
928322029
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |