Individual
DR. JEREMIAH JAMES NIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2020 ZONAL AVE, IRD# 820, LOS ANGELES, CA 90089-0121
(323) 226-3406
(323) 226-3440
Mailing address
2020 ZONAL AVE, IRD# 820, LOS ANGELES, CA 90089-0121
(323) 226-3406
(323) 226-3440
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
20A10873
CA
2080N0001X
Neonatal-Perinatal Medicine Physician
O-1943
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20A10873
CA STATE MEDICAL LICENSE
CA
Enumeration date
03/22/2007
Last updated
04/11/2024
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