Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | A66747 | CA |
N | 207QA0401X | Family Doctor - Addiction Medicine | A66747 | CA |
N | 207QG0300X | Family Doctor - Geriatric Medicine | A66747 | CA |
Y | 208D00000X | General Practice Physician | A66747 | CA |
NPI | 1265554695 |
---|---|
Provider Name | Dr. Neil Anjan Chatterjee |
First Address | Los Angeles, CA 90027-5516 |
Second Address | Los Angeles, CA 90027-5516 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2007 |
Last Update Date | 02/07/2010 |