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Organization
WAKELIN MCNEEL III MD
Active
Organization
WAKELIN MCNEEL III MD
Active
Parent organization
CENTER FOR HEALTHY LIVING MEDICAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTER FOR HEALTHY LIVING MEDICAL
Authorized official
DR. WAKELIN MCNEEL M.D. (PSYCHIATRIST)
(626) 332-0556
Entity
Organization
Contact information
Practice address
4619 ROSEMEAD BLVD, ROSEMEAD, CA 91770-1478
(626) 286-1191
(626) 332-6587
Mailing address
750 TERRADO PLZ, STE 40, COVINA, CA 91723-3419
(626) 332-0556
(626) 332-6587
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G78933
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G789330
—
CA
Enumeration date
06/21/2007
Last updated
02/14/2017
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