Individual
CHARLES NEBO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4240 W 62ND ST, LOS ANGELES, CA 90043-3615
(323) 290-2540
Mailing address
5757 W CENTURY BLVD STE 303, LOS ANGELES, CA 90045-6409
(818) 439-7444
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
225C00000X
Rehabilitation Counselor
—
—
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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