Individual
DR. NATHANIEL NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2840 LONG BEACH BLVD, STE 365, LONG BEACH, CA 90806-1516
(562) 989-2374
(562) 989-2364
Mailing address
PO BOX 21299, LONG BEACH, CA 90801-4299
(562) 989-2374
(562) 989-2364
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
G52451
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G24510
—
CA
01
—
G52451
STATE LICENSE NUMBE
CA
Enumeration date
07/17/2006
Last updated
07/08/2007
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