Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | C154876 | CA |
N | 208000000X | Pediatrician | N1953 | TX |
Y | 2080N0001X | Neonatal-Perinatal Doctor | C154876 | CA |
NPI | 1053541862 |
---|---|
Provider Name | Katherine J Weiss |
First Address | San Diego, CA 92123-4223 |
Second Address | San Diego, CA 92123-4223 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2009 |
Last Update Date | 09/05/2018 |