Cary D Nelson
Family Doctor - Adult Medicine
12626 Riverside Dr Ste 510
Valley Village
, California 91607-3463
Cary D Nelson
Family Doctor - Adult Medicine
12626 Riverside Dr Ste 510
Valley Village
, California 91607-3463
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About
Features
Specialties
- Family Doctor - Adult Medicine
Languages spoken
- English
Location
First Address
- Cary D Nelson
- Po Box 3341
- Long Beach, CA
- Zip : 90803-0341
- Phone :
Second Address
- Cary D Nelson
- 12626 Riverside Dr Ste 510
- Valley Village, CA
- Zip : 91607-3463
- Phone : (818) 755-0101
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0505X | Family Doctor - Adult Medicine | A87420 | CA |
National Provider Identifier
| NPI | 1215018486 |
|---|---|
| Provider Name | Cary D Nelson |
| First Address | Long Beach, CA 90803-0341 |
| Second Address | Valley Village, CA 91607-3463 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/10/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 149297 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.