Individual ProviderOtto T NebelInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address9850 Genesee Ave, Suite 820, La Jolla, CA 92037-1224(858) 453-5200PECOS EnrollmentBased on the most recent information from CMS, provider Otto T Nebel does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1851323992Provider TypeIndividualFull NameNebel, Otto TTitleDr.CredentialM.D.GenderMaleSole ProprietorNoEnumeration Date7/7/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address9850 Genesee Ave, Suite 820, La Jolla, CA 92037-1224Phone(858) 453-5200Fax(858) 453-5160Mailing LocationMailing Address9850 Genesee Ave, Suite 820, La Jolla, CA 92037-1224Phone(858) 453-5200Fax(858) 453-5160Provider TaxonomiesCodeDescriptionLicenseCode207RG0100XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseG24193California