Organization
UC REGENTS SURGERY LASER UNIVERSITY PHY
Active
Other names
UC Regents Surgery Laser University Phy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN S NELSON M.D (MEDICAL DIRECTOR)
(949) 824-7526
Entity
Organization
Contact information
Practice address
1002 HEALTH SCIENCES RD EAST, IRVINE, CA 92612-3010
(949) 824-4269
(949) 824-2726
Mailing address
PO BOX 513375, LOS ANGELES, CA 90051-3375
(949) 824-4269
(949) 824-2726
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
CA
Other
Enumeration date
06/18/2007
Last updated
07/11/2008
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