Individual
BRUCE A NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2925 SYCAMORE DR, SUITE 204/205, SIMI VALLEY, CA 93065-1207
(805) 578-9620
(805) 955-0498
Mailing address
2925 SYCAMORE DR, SUITE 204/205, SIMI VALLEY, CA 93065-1207
(805) 578-9620
(805) 583-0414
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G36931
CA
Other
Enumeration date
02/14/2006
Last updated
03/12/2020
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