# RENEE S NELSON MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275722910
- **Authorized official:** DR. RENEE S NELSON M.D. (PRESIDENT)
- **Authorized official phone:** (619) 995-9949

## Contact information

- **Practice address:** 1301 PUNCHBOWL ST, HONOLULU, HI 96813-2499
- **Practice address phone:** (808) 691-7143
- **Practice address fax:** (808) 691-7496
- **Mailing address:** PO BOX 1009, SPRING VALLEY, CA 91979-1009
- **Mailing address phone:** (619) 508-0908
- **Mailing address fax:** (619) 693-3242

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0200X | Critical Care Medicine (Internal Medicine) Physician | G78214 | CA | — |
| 207RP1001X | Pulmonary Disease Physician | G78214 | CA | Yes |

## Other

- **Enumeration date:** 10/18/2007
- **Last updated:** 04/17/2023