Individual
SCOTT R NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O., FACEP
Contact information
Practice address
24361 EL TORO RD, SUITE 120, LAGUNA WOODS, CA 92637-2755
(949) 916-6321
(949) 916-6340
Mailing address
24361 EL TORO RD, SUITE 120, LAGUNA WOODS, CA 92637-2755
(949) 916-6321
(949) 916-6340
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
G3643
TX
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
G3643
TX
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
G3643
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136522311
—
TX
Enumeration date
04/05/2006
Last updated
03/26/2015
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