Individual
AMANDA NATALIE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10250 SANTA MONICA BLVD STE 2440, LOS ANGELES, CA 90067-6593
(310) 286-0122
(310) 286-0125
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
102899
GA
207Q00000X
Family Medicine Physician
Primary
A187564
CA
Other
Enumeration date
06/16/2021
Last updated
03/26/2025
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