Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | G29245 | CA |
NPI | 1063443349 |
---|---|
Provider Name | Dr. Harry Weisman |
First Address | Santa Monica, CA 90406-7247 |
Second Address | Los Angeles, CA 90024-6970 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2006 |
Last Update Date | 19/08/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G292450 | (05) | CA |
A91182 | (02) | CA |