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NELSON FORREST BOLAND MD

Individual Provider (NPI-1) Active

Family Medicine

Provider Information

NPI Number
1649739764
Provider Type
Individual Provider (NPI-1)
Credentials
MD
Status
Active

Contact & Location

Address
1225 15TH ST STE 2100, SANTA MONICA, CA, 904041101
Phone
(310) 319-1234

Specialties & Taxonomies

Family Medicine, Sports Medicine License: CA #A179762
Family Medicine Primary License: CA #A179762

All Addresses

LOCATION

1225 15TH ST STE 2100

SANTA MONICA, CA, 904041101

(310) 319-1234

MAILING

5767 W CENTURY BLVD STE 400

LOS ANGELES, CA, 900455631