MEDICARE: NEAL RICHARD CUTLER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	G32762	CA
2	2084P0800X	Psychiatry Physician	G32762	CA

General Provider Information

NPI Number	:	1083880397
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NEAL RICHARD CUTLER M.D.

Provider Business Mailing Address
First Line	:	401 N MAPLE DR
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90210-3818
Country	:	US
Telephone Number	:	310-385-6300
Fax Number	:	310-385-6301

Provider Business Practice Location Address
First Line	:	401 N MAPLE DR
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90210-3818
Country	:	US
Telephone Number	:	310-385-6300
Fax Number	:	310-385-6301

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/06/2008
Last Update Date	:	05/06/2008

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