Nelson, David R

Nelson, David R is an individual health care provider with primary practice located at 2000 Stadium Way , Los Angeles CA 90026-2606. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Nelson, David R can be contacted via phone (213) 250-4200.

Contact Information

Primary practice address
2000 Stadium Way Los Angeles CA 90026-2606
Fax: (213) 250-3274
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X G60128 California
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X G60128 California

Profile Details

NPI number 1700886975
LBN Legal business name Nelson, David R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Mar 8th, 2017 - about 7 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 1700886975 NPPES
California MEDICAID 00G601280

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