Dr Kathryn Ann Weaver, MD | |
1835 Sunny Crest Dr, Fullerton, CA 92835-3616 | |
(714) 446-5101 | |
Not Available |
Full Name | Dr Kathryn Ann Weaver |
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Gender | Female |
Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
Location | 1835 Sunny Crest Dr, Fullerton, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992187686 | NPI | - | NPPES |
A156117 | Other | CA | MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | A156117 (California) | Primary |
Entity Name | Providence Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
Mailing Address | Practice Location Address |
---|---|
Dr Kathryn Ann Weaver, MD 3831 Hughes Ave Ste 509, Culver City, CA 90232-6861 Ph: (424) 284-2440 | Dr Kathryn Ann Weaver, MD 1835 Sunny Crest Dr, Fullerton, CA 92835-3616 Ph: (714) 446-5101 |
Dr. Hina Sidhu, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1400 N Harbor Blvd Ste 540, Fullerton, CA 92835 Phone: 714-871-9357 Fax: 714-871-9362 | |
Dr. Chandrakanthi Y Sivalingam, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 680 Langsdorf Dr, Fullerton, CA 92831 Phone: 714-871-9264 Fax: 714-871-5032 | |
Dr. Lowell Gordon Nelson, M.D., PH.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1841 Avenida San Lorenzo, Fullerton, CA 92833 Phone: 714-743-6077 | |
Dr. Marc A Charles, M.D. Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 1501 North Harbor Blvd, 203, Fullerton, CA 92835 Phone: 714-871-5411 Fax: 714-871-2401 | |
Dr. Oscar Miclat Balilo, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 211 W Commonwealth Ave, Fullerton, CA 92832 Phone: 714-447-7000 | |
Scott George Turner, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2151 N Harbor Blvd Ste 3100, Fullerton, CA 92835 Phone: 714-446-5830 Fax: 714-992-3037 | |
Kishore K Desagani, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 101 E Valencia Mesa Dr, Fullerton, CA 92835 Phone: 949-689-0288 Fax: 949-509-6599 |