What is Eloisa Velasco's NPI number?

The NPI number assigned to this healthcare provider is 1740797976, enumerated as a individual on January 9, 2018.

Where is the provider located?

The provider is located at 1212 N CALIFORNIA ST STOCKTON, CA 95202 and the phone number is (209) 468-8700.

What is the provider's specialty?

The provider's specialty is Licensed Psychiatric Technician with taxonomy code 167G00000X.

ELOISA VELASCO - NPI 1740797976 - Licensed Psychiatric Technician in Stockton, CA

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About Eloisa Velasco NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELOISA VELASCO (NPI 1740797976) is an individual licensed psychiatric technician in Stockton, California, licensed in California (40561) and active in the NPI registry since January 2018.

NPPES Registry Identity

NPI1740797976

Entity TypeIndividualFemale

Primary Taxonomy167G00000X

Provider Legal NameELOISA VELASCO

Location Address1212 N CALIFORNIA STStockton, CA 95202-1552

Mailing Address2958 Kennsington CtTracy, CA 95377-7974

Phone(209) 468-8700

Sole ProprietorYes

Enumeration DateJanuary 9, 2018

✔ NPI 1740797976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Psychiatric TechnicianNursing Service Providers

Taxonomy Code167G00000X

License✔ Licensed in CA · 40561

Definition

An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities.

1212 N CALIFORNIA ST, Stockton, CA 95202

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