Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | GFE4386 | CA |
N | 207RA0201X | Internist - Allergy & Immunology | GFE4386 | CA |
NPI | 1790931996 |
---|---|
Provider Name | Dr. Joseph David Weissman |
First Address | Rolling Hills Estates, CA 90274-3720 |
Second Address | Rolling Hills Estates, CA 90274-3720 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/08/2008 |
Last Update Date | 07/08/2008 |