Individual
FRANK MACCANELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
15107 VANOWEN ST, VAN NUYS, CA 91405-4542
(818) 782-6600
(818) 904-3774
Mailing address
101 S 1ST ST, 1000, BURBANK, CA 91502-1938
(818) 845-6206
(818) 845-9774
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
20A6307
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX63071
—
CA
01
—
020A63070
BLUE SHIELD
CA
Enumeration date
08/05/2006
Last updated
07/08/2007
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