Fredric E. Weiss M.d. Inc. | |
16311 Ventura Blvd 1175 Encino CA 91436-4359 | |
(818) 501-4277 | |
(818) 501-3113 |
Full Name | Fredric E. Weiss M.d. Inc. |
---|---|
Speciality | Internal Medicine - Gastroenterology |
Location | 16311 Ventura Blvd, Encino, California |
Authorized Official Name and Position | Kathy Weiss (OFFICE MANAGER) |
Authorized Official Contact | 8185014277 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Fredric E. Weiss M.d. Inc. 16311 Ventura Blvd 1175 Encino CA 91436-4359 Ph: (818) 501-4277 | Fredric E. Weiss M.d. Inc. 16311 Ventura Blvd 1175 Encino CA 91436-4359 Ph: (818) 501-4277 |
NPI Number | 1760647283 |
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Provider Enumeration Date | 07/24/2008 |
Last Update Date | 12/19/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760647283 | NPI | - | NPPES |
G299631 | Other | CA | BLUE SHIELD |
00G299631 | Medicaid | CA | |
G299631 | Other | CA | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | G29963 (California) | Primary |
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