Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0105X | Surgery of the Hand | G407810 | CA |
NPI | 1881669596 |
---|---|
Provider Name | Dr. Roy Allen Meals |
First Address | Los Angeles, CA 90024-3417 |
Second Address | Los Angeles, CA 90024-3417 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/02/2006 |
Last Update Date | 10/01/2022 |