Individual
DR. KENNETH NEIL SALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11423 187TH ST, SUITE 200, ARTESIA, CA 90701-5653
(562) 804-1974
(562) 804-4350
Mailing address
11423 187TH ST, SUITE 200, ARTESIA, CA 90701-5653
(562) 804-1974
(562) 804-4350
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G44902
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G449020
—
CA
Enumeration date
01/18/2008
Last updated
10/16/2017
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