Organization
ENCINO ANESTHESIA ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES K NEAL MD (PRESIDENT)
(818) 550-0900
Entity
Organization
Contact information
Practice address
5353 BALBOA BLVD, STE 300, ENCINO, CA 91316-2804
(818) 937-9969
Mailing address
PO BOX 5486, ORANGE, CA 92863-5486
(818) 550-0900
(505) 293-1524
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G47901
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
G47901
CA
Other
Enumeration date
03/02/2015
Last updated
03/02/2015
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