Individual
MR. GREG J. NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15243 VANOWEN ST, SUITE 212, VAN NUYS, CA 91405-3605
(818) 785-8707
(818) 785-1152
Mailing address
PO BOX 55637, SHERMAN OAKS, CA 91413-0637
(818) 785-8707
(818) 785-1152
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G67260
CA
Other
Enumeration date
02/23/2007
Last updated
07/09/2007
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