Teodoro P. Nissen M.D., Inc in Vallejo - Specialist
Teodoro P. Nissen M.D., Inc - NPI 1629248109
Teodoro P. Nissen M.D., Inc is a Specialist in Vallejo, California. Teodoro P. Nissen M.D., Inc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Teodoro P. Nissen M.D., Inc is 1629248109. The last update date is 2019-07-11.
Teodoro P. Nissen M.D., Inc's current location address is 100 Hospital Dr, Vallejo, California. You can contact this provider via phone number 7076457210 and fax number 7076457249. The mailing address for Teodoro P. Nissen M.D., Inc is 100 Hospital Dr, Vallejo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Teodoro P. Nissen M.D., Inc |
|---|---|
| Address | 100 Hospital Dr, Vallejo, California |
| Phone Number | 7076457210 |
| Fax Number | 7076457249 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Nissen Pedro Teodoro |
| Credentials | MD |
| Telephone Number | 7076457210 |
NPI Number Detail
| NPI Number | 1629248109 |
|---|---|
| Provider Enumeration Date | 2008-03-11 |
| Last Updated Date | 2019-07-11 |
Provider Mailing Address Detail
| Address | 100 Hospital Dr |
|---|---|
| City | Vallejo |
| State | California (CA) |
| Post Code | 945892580 |
| Phone Number | 7076457210 |
| Fax Number | 7076457249 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | A77901 |
|
Definition: 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. |
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Post Comment/ Review Below
What is the Teodoro P. Nissen M.D., Inc's 1629248109?
The Teodoro P. Nissen M.D., Inc's NPI (National Provider Identifier) Number is 1629248109. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Teodoro P. Nissen M.D., Inc is located?
The Teodoro P. Nissen M.D., Inc is situated at the following address: 100 Hospital Dr, Vallejo, CA, 945892580.
What is Teodoro P. Nissen M.D., Inc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Teodoro P. Nissen M.D., Inc is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1629248109 to Teodoro P. Nissen M.D., Inc?
The Teodoro P. Nissen M.D., Inc received its 1629248109 assignment from the Centers for Medicare & Medicaid Services on 2008-03-11.
As of what date was the information regarding Teodoro P. Nissen M.D., Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Teodoro P. Nissen M.D., Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-07-11.