Organization
NELSON-NAM A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREG J NELSON M.D. (OWNER)
(818) 785-8707
Entity
Organization
Contact information
Practice address
15243 VANOWEN ST, SUITE 212, VAN NUYS, CA 91405-3605
(818) 785-8707
(818) 785-1152
Mailing address
PO BOX 55637, SHERMAN OAKS, CA 91413-0637
(818) 785-8707
(818) 785-1152
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
10/04/2007
Last updated
07/18/2015
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