Individual provider · Type 1 NPI
Cary D. Nelson, MD
Adult Medicine Physician · Valley Village, CA
NPI number
1215018486
Active
Practice location
12626 Riverside Dr Ste 510
Valley Village, CA 91607-3463
Mailing address
PO Box 3341
Long Beach, CA 90803-0341
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician Primary | 207QA0505X | A87420 (CA) |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
About NPI 1215018486
Cary D. Nelson, MD's National Provider Identifier is 1215018486, issued on Oct 17, 2006. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Valley Village, CA. The record was last updated on Jul 8, 2007.