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FEDERAL WAY PRIMARY CARE LLC NPI 1982898730


NPI Information

NPI: 1982898730
Provider Name: FEDERAL WAY PRIMARY CARE, LLC

Doing Business As: ESTRELINO VELASCO, M.D.

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
34617 11TH PLACE S
SUITE 202
FEDERAL WAY, WA
ZIP 98003
Phone: (253) 838-4500
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FEDERAL WAY PRIMARY CARE, LLC is a specialist in Federal Way, WA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. FEDERAL WAY PRIMARY CARE, LLC NPI is 1982898730. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Estrelino Velasco, M.d..

The provider's business location address is:

34617 11TH PLACE S
SUITE 202
FEDERAL WAY, WA
ZIP 98003-706
Phone: (253) 838-4500

The provider's authorized official is Estrelino D Velasco .
The authorized official title is Member and has the following contact phone number 25358384500.

The enumeration date for this NPI number is 9/4/2007 and was last updated on 10/17/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistMD00040660WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G17061MEDICARE UPINWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.