Individual
DR. CHARLES KENNETH NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16311 VENTURA BLVD, SUITE# 705, ENCINO, CA 91436-2124
(818) 205-9500
(818) 205-9594
Mailing address
PO BOX 5486, ORANGE, CA 92863-5486
(818) 550-0900
(505) 293-1524
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
G47901
CA
Other
Enumeration date
09/28/2006
Last updated
03/24/2011
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