Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN1001X | Nutrition | 18651 | CA |
NPI | 1548381072 |
---|---|
Provider Name | Dr. Neal Springer |
First Address | Los Angeles, CA 90027-5455 |
Second Address | Los Angeles, CA 90027-5455 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2007 |
Last Update Date | 08/07/2007 |