Individual
GERGANA T NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1910 OUTLET CENTER DR, OXNARD, CA 93036-0677
(805) 485-2400
(805) 485-3025
Mailing address
1910 OUTLET CENTER DR, OXNARD, CA 93036-0677
(805) 485-2400
(805) 485-3025
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A134750
CA
207RP1001X
Pulmonary Disease Physician
Primary
A134750
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
03/28/2013
Last updated
05/24/2021
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