Individual
NEIL J. HALBRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4354 LATHAM ST STE 100, RIVERSIDE, CA 92501-1777
(951) 683-0650
(951) 774-4612
Mailing address
4354 LATHAM ST STE 100, RIVERSIDE, CA 92501-1777
(951) 683-0650
(951) 774-4612
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G27529
CA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
G27529
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200009731
RAILROAD MEDICARE
CA
Enumeration date
06/14/2005
Last updated
02/10/2020
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