Individual
CARY D NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12626 RIVERSIDE DR STE 510, VALLEY VILLAGE, CA 91607-3463
(818) 755-0101
Mailing address
PO BOX 3341, LONG BEACH, CA 90803-0341
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
A87420
CA
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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