Norman H Nelson M.D., a Medical Corp

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

A16140 Issued in CA

Legal business name

NORMAN H NELSON M.D., A MEDICAL CORP

Practice address

5400 Balboa Blvd
Suite 141
Encino, CA 91316-5203

Phone

(818) 789-0533

Fax

(818) 789-7642

NPI assigned

Mar 26, 2010

Last updated

Oct 3, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Norman H Nelson, M.D.

Title

Physician/Owner

Phone

(818) 789-0533

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1269561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317600000000",
    "number": "1760706253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 BALBOA BLVD",
            "address_2": "SUITE 141",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913165203",
            "telephone_number": "818-789-0533",
            "fax_number": "818-789-7642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 BALBOA BLVD",
            "address_2": "SUITE 141",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913165203",
            "telephone_number": "818-789-0533",
            "fax_number": "818-789-7642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORMAN H NELSON M.D., A MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-26",
        "last_updated": "2011-10-03",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "818-789-0533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A16140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in Encino, CA
• Providers in Encino, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.