Individual
MICHAEL N NEELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1640 MARENGO ST, HRA 300, LOS ANGELES, CA 90033-1036
(323) 226-5068
(323) 226-2506
Mailing address
6430 W SUNSET BLVD, SUITE 600, LOS ANGELES, CA 90028-7901
(323) 669-2337
(323) 644-8188
Taxonomy
Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
Primary
A80761
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A807610
—
CA
Enumeration date
09/20/2006
Last updated
07/08/2007
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