Nelson, Bruce Leslie
Nelson, Bruce Leslie is an individual health care provider with primary practice located at 26800 Crown Valley Pkwy Suite 315, Mission Viejo CA 92691-6384. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Nelson, Bruce Leslie can be contacted via phone (949) 364-6000.Contact Information
Primary practice address
26800 Crown Valley Pkwy Suite 315
Mission Viejo CA 92691-6384
Phone: (949) 364-6000
Fax: (949) 364-1204
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207RA0201X | G046205 | California |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | G046205 | California |
Profile Details
| NPI number | 1649269614 |
|---|---|
| LBN Legal business name | Nelson, Bruce Leslie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 20th, 2005 |
| Last updated | Nov 6th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649269614 | NPPES |
| California | MEDICAID | 00G462050 |
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