Provider Demographics
NPI:1285899948
Name:NEAVIN, TIMOTHY SCOTT (MD)
Entity type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:SCOTT
Last Name:NEAVIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:9615 BRIGHTON WAY
Mailing Address - Street 2:SUITE 303
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-5131
Mailing Address - Country:US
Mailing Address - Phone:310-858-8811
Mailing Address - Fax:310-858-8282
Practice Address - Street 1:9615 BRIGHTON WAY
Practice Address - Street 2:SUITE 303
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-5131
Practice Address - Country:US
Practice Address - Phone:310-858-8811
Practice Address - Fax:310-858-8282
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-22
Last Update Date:2015-01-07
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Provider Licenses
StateLicense IDTaxonomies
CAA99678208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery