Basic Information
Provider Information
NPI: 1568606036
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALMARIO
FirstName: CHRISTOPHER
MiddleName: VELASQUEZ
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 11301 WILSHIRE BLVD
Address2: BUILDING 115, ROOM 215
City: LOS ANGELES
State: CA
PostalCode: 900731003
CountryCode: US
TelephoneNumber: 3104783711
FaxNumber:  
Practice Location
Address1: 11301 WILSHIRE BLVD
Address2: BUILDING 115, ROOM 215
City: LOS ANGELES
State: CA
PostalCode: 900731003
CountryCode: US
TelephoneNumber: 3104783711
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/28/2009
LastUpdateDate: 04/26/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XMT194795PAN Allopathic & Osteopathic PhysiciansInternal Medicine 
390200000XMT194795PAN Student, Health CareStudent in an Organized Health Care Education/Training Program 
207R00000XMD444485PAN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RG0100XA121936CAY Allopathic & Osteopathic PhysiciansInternal MedicineGastroenterology

No ID Information.


Home