Jared Michael Nelson, D.O. Valid NPI
Individual provider · Psychiatry Physician · Rialto, CA
- NPI
- 1295091791
- Type
- Individual (Type 1)
- Primary specialty
- Psychiatry Physician (Psychiatry & Neurology)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 2084P0800X
- License number
- 20A 12215 (CA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2012-04-09
- Last updated
- 2021-01-26
Practice location
850 E Foothill Blvd
Rialto, CA 92376-5230
(909) 421-9200