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Organization

TEODORO P. NISSEN M.D., INC

Active
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Organization

TEODORO P. NISSEN M.D., INC

Active
Other names
Bay Area Orthopedic Surgery and Sports Medicine
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TEODORO PEDRO NISSEN MD (CEO)
(707) 645-7210
Entity
Organization

Contact information

Practice address
1460 N CAMINO ALTO STE 201, VALLEJO, CA 94589-2567
(707) 645-7210
(707) 645-7249
Mailing address
1460 N CAMINO ALTO STE 201, VALLEJO, CA 94589-2567
(707) 645-7210
(707) 645-7249

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A77901
CA

Other

Enumeration date
03/11/2008
Last updated
02/12/2026
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