Individual
DR. NELHS BETANCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH, DABT
Contact information
Practice address
770 MAGNOLIA AVE, SUITE 2K, CORONA, CA 92879-3120
(951) 898-6600
(951) 898-7647
Mailing address
770 MAGNOLIA AVE, SUITE 2K, CORONA, CA 92879-3120
(951) 898-6600
(951) 898-7647
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G71771
CA
2083T0002X
Medical Toxicology (Preventive Medicine) Physician
G71771
CA
2083X0100X
Occupational Medicine Physician
Primary
G71771
CA
Other
Enumeration date
10/03/2006
Last updated
09/29/2016
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