Provider Demographics
NPI:1174612113
Name:SHINDEL, NEAL MICHAEL (MD)
Entity type:Individual
Prefix:DR
First Name:NEAL
Middle Name:MICHAEL
Last Name:SHINDEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15141 WHITTIER BLVD
Mailing Address - Street 2:#260
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90603-2135
Mailing Address - Country:US
Mailing Address - Phone:562-698-0306
Mailing Address - Fax:562-693-7016
Practice Address - Street 1:15141 WHITTIER BLVD
Practice Address - Street 2:#260
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90603-2135
Practice Address - Country:US
Practice Address - Phone:562-698-0306
Practice Address - Fax:562-693-7016
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG51705207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA33-0003886OtherTAX ID