Individual
ANITA L NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
21840 NORMANDIE AVE, STE. 1100, TORRANCE, CA 90502-2047
(310) 222-5125
(310) 328-5731
Mailing address
21840 NORMANDIE AVE, STE. 1100, TORRANCE, CA 90502-2047
(310) 222-5125
(310) 328-5731
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G49311
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A493110
—
CA
01
—
CH1382
RAILROAD MEDICARE
CA
01
—
DA6447
RAILROAD MEDICARE
CA
01
—
M050376
GROUP
CA
01
—
P00686006
RAILROAD PTAN
CA
01
—
W14940
GROUP
CA
Enumeration date
07/05/2006
Last updated
05/12/2009
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