Individual
JEFFREY ROBERT NELSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
333 S ARROYO PKWY, PASADENA, CA 91105-2515
(626) 440-9161
(626) 585-1603
Mailing address
333 S ARROYO PKWY, PASADENA, CA 91105-2515
(626) 440-9161
(626) 585-1603
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
20A6317
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20A6317
MEDICAL LICENSE
CA
Enumeration date
01/31/2006
Last updated
07/08/2007
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