Organization · Type 2 NPI
Teodoro P. Nissen M.d., Inc
Specialist · Vallejo, CA
NPI number
1629248109
Active
Practice location
1460 N Camino Alto Ste 201
Vallejo, CA 94589-2567
Fax (707) 645-7249
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | A77901 (CA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Another provider at this address
Other specialist providers in Vallejo
About NPI 1629248109
Teodoro P. Nissen M.d., Inc's National Provider Identifier is 1629248109, issued on Mar 11, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Vallejo, CA. The record was last updated on Feb 12, 2026.