Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Moises Velasco, IDMT

Individual provider Independent Duty Medical Technicians · NPI 1639300197

Moises Velasco, IDMT is an Independent Duty Medical Technicians in Edwards AFB, California. Practices as a sole proprietor. Registered with an NPI since 2009.

In the registry since
2009

Practice location Address checks out

412 Th Medical Group 30 Nightingale Rd
Edwards AFB, CA 93524-0001
Phone: (661) 277-1130
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Medical Technicians (primary) Taxonomy 1710I1003X

Record details

NPI number1639300197
Entity typeIndividual (Type 1)
GenderMale
Credentials IDMT
Sole proprietorYes
NPI enumeratedJuly 31, 2009
Last updated in NPPESJanuary 6, 2013

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