Organization
ENCINO AMBULATORY CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES NEAL (MEDICAL DIRECTOR)
(818) 205-9500
Entity
Organization
Contact information
Practice address
16311 VENTURA BLVD STE 709, ENCINO, CA 91436-4323
(818) 205-9500
Mailing address
16311 VENTURA BLVD STE 709, ENCINO, CA 91436-4323
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
05/02/2023
Last updated
06/01/2023
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