| Joseph Weigel Services | |
|
19325 E Swanee Ln Covina CA 91723-3257 | |
| (626) 646-9072 | |
| (626) 332-1551 |
| Full Name | Joseph Weigel Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 19325 E Swanee Ln, Covina, California |
| Authorized Official Name and Position | Joseph Weigel (CHEIF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6266469072 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph Weigel Services 19325 E Swanee Ln Covina CA 91723-3257 Ph: (626) 646-9072 | Joseph Weigel Services 19325 E Swanee Ln Covina CA 91723-3257 Ph: (626) 646-9072 |
| NPI Number | 1902147770 |
|---|---|
| Provider Enumeration Date | 03/04/2013 |
| Last Update Date | 03/04/2013 |
| Medicare PECOS PAC ID | 3577788603 |
|---|---|
| Medicare Enrollment ID | O20140704000022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902147770 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 16725 (California) | Primary |
| Provider Name | Joseph P Weigel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063563542 PECOS PAC ID: 1153587324 Enrollment ID: I20120717000239 |
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