Provider Demographics
NPI:1043806664
Name:VELOZO, DANILO ALVES DOS SANTOS (DC)
Entity type:Individual
Prefix:DR
First Name:DANILO
Middle Name:ALVES DOS SANTOS
Last Name:VELOZO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14624 SHERMAN WAY STE 300
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91405-2288
Mailing Address - Country:US
Mailing Address - Phone:818-901-1505
Mailing Address - Fax:818-901-7705
Practice Address - Street 1:14600 SHERMAN WAY STE 250
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91405-2284
Practice Address - Country:US
Practice Address - Phone:818-901-1505
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-17
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR6122111N00000X
CA35066111NP0017X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NP0017XChiropractic ProvidersChiropractorPediatric Chiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA35066OtherCALIFORNIA BOARD OF CHIROPRACTIC EXAMINERS
OR6122OtherOREGON STATE CHIROPRACTIC LICENSE