Nelson, Trevor D.
Nelson, Trevor D. is an individual health care provider with primary practice located at 9898 Genesee Ave , La Jolla CA 92037-1205. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Nelson, Trevor D. can be contacted via phone (858) 626-7275.Contact Information
Primary practice address
9898 Genesee Ave
La Jolla CA 92037-1205
Phone: (858) 626-7275
Fax: (858) 626-4085
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | A66930 | California |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | A66930 | California |
Profile Details
| NPI number | 1366494577 |
|---|---|
| LBN Legal business name | Nelson, Trevor D. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2006 |
| Last updated | Feb 4th, 2019 - about 5 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 | 1366494577 | NPPES |
| California | MEDICAID | 00A669300 |
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