Individual
GREGG NIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RVT
Contact information
Practice address
4501 BIRCH ST, STE C, NEWPORT BEACH, CA 92660-1990
(805) 705-5003
Mailing address
913 LINDENCLIFF ST, TORRANCE, CA 90502-2710
(805) 705-5003
Taxonomy
Speciality
Code
Description
License number
State
2471V0105X
Vascular Sonography Radiologic Technologist
Primary
154435
CA
Other
Enumeration date
11/15/2014
Last updated
08/17/2016
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