Provider Demographics
NPI:1598991200
Name:NEAL HANDEL M.D., A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:NEAL HANDEL M.D., A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAN
Authorized Official - Prefix:DR
Authorized Official - First Name:NEAL
Authorized Official - Middle Name:
Authorized Official - Last Name:HANDEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-788-3973
Mailing Address - Street 1:13400 RIVERSIDE DR
Mailing Address - Street 2:SUITE #101
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91423-2513
Mailing Address - Country:US
Mailing Address - Phone:818-788-3973
Mailing Address - Fax:818-783-5302
Practice Address - Street 1:13400 RIVERSIDE DR
Practice Address - Street 2:SUITE #101
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91423-2513
Practice Address - Country:US
Practice Address - Phone:818-788-3973
Practice Address - Fax:818-783-5302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-09
Last Update Date:2009-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG275302086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Single Specialty