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Organization

RENEE S NELSON MD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RENEE S NELSON M.D. (PRESIDENT)
(619) 995-9949
Entity
Organization

Contact information

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

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G782140
CA
Enumeration date
10/18/2007
Last updated
04/17/2023
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