Individual
DR. JOSEPH DARRYL NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
10800 MAGNOLIA AVE, RIVERSIDE, CA 92505-3043
(951) 353-2000
Mailing address
10800 MAGNOLIA AVE, RIVERSIDE, CA 92505-3043
(951) 353-2000
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E5109
CA
390200000X
Student in an Organized Health Care Education/Training Program
EL1891
CA
Other
Enumeration date
09/22/2013
Last updated
12/02/2021
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