Organization
CHARLES K NEAL, MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES NEAL MD (PRESIDENT)
(818) 550-0900
Entity
Organization
Contact information
Practice address
16311 VENTURA BLVD, STE 705, ENCINO, CA 91436-2124
(818) 550-0900
(505) 293-1524
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G479010
BLUE SHIELD
CA
05
—
00G479011
—
CA
01
—
G47901
BLUE CROSS
CA
Enumeration date
05/01/2007
Last updated
03/23/2011
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