Neely, Michael N

Neely, Michael N is an individual health care provider with primary practice located at 1640 Marengo St Hra 300, Los Angeles CA 90033-1036. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases, which is considered as his primary health care specialty. Neely, Michael N can be contacted via phone (323) 226-5068.

Contact Information

Primary practice address
1640 Marengo St Hra 300 Los Angeles CA 90033-1036
Fax: (323) 226-2506
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases 2080P0208X A80761 California

Profile Details

NPI number 1154429793
LBN Legal business name Neely, Michael N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154429793 NPPES
California MEDICAID 00A807610

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