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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649269614 NPPES
California MEDICAID 00G462050

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