Search › California › 207Q00000X
Theodore Nelson, D.O
NPI 1740636455 · on the registry since 2016
Practice
- Address
- 11333 Sepulveda Blvd
Mission Hills, CA 91345 - Phone
- (877) 634-3196
- Organisation at this address
- Reliance Fb Rx Llc
Providence Facey Medical FoundationInferred from a shared address, not stated in the registry. - Clinicians at this address
- 187
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 390200000X
390200000X - Licence states on file
- CA, NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-10-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California