Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | G44483 | CA |
NPI | 1063402956 |
---|---|
Provider Name | Dr. Steven Richard Weiner |
First Address | Chatsworth, CA 91313-4526 |
Second Address | Woodland Hills, CA 91367-2017 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/10/2005 |
Last Update Date | 11/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G444831 | (05) | CA |
6848023 | (05) | CA |
A92495 | (02) | CA |