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Contact Information

BRUCE L NELSON, MD
26800 CROWN VALLEY PKWY
SUITE 315
MISSION VIEJO, CA92691-6384
 Phone: 949-364-6000
 Fax: 949-364-1204
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Allergy & Immunology

207RA0201X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for BRUCE L NELSON · (Male)

NPI # 1649269614
Status Active
Credentials MD
Entity Individual
Enumeration date 10/20/2005
Last updated 11/06/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • CA License # G046205
  • CA Medicaid 00G462050
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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