| D Michael Weill Dpm - A Professional Corporation | |
|
419 1/2 N Larchmont Blvd, Los Angeles, CA 90004-3013 | |
| (323) 462-1491 | |
| (323) 285-5447 |
| Full Name | D Michael Weill Dpm - A Professional Corporation |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 419 1/2 N Larchmont Blvd, Los Angeles, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639360878 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | E2275 (California) | Primary |
| Provider Name | D M Weill |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1043386980 PECOS PAC ID: 3375613649 Enrollment ID: I20080529000847 |
| Mailing Address | Practice Location Address |
|---|---|
| D Michael Weill Dpm - A Professional Corporation 419 1/2 N Larchmont Blvd, Los Angeles, CA 90004-3013 Ph: (323) 462-1491 | D Michael Weill Dpm - A Professional Corporation 419 1/2 N Larchmont Blvd, Los Angeles, CA 90004-3013 Ph: (323) 462-1491 |
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