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
Fax: (858) 626-4085
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366494577 NPPES
California MEDICAID 00A669300

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