| John C Weaver Md A Professional Corporation | |
|
204 S Atlantic Blvd Suite 2 Los Angeles CA 90022-1755 | |
| (323) 724-8164 | |
| (323) 724-9207 |
| Full Name | John C Weaver Md A Professional Corporation |
|---|---|
| Speciality | General Practice |
| Location | 204 S Atlantic Blvd, Los Angeles, California |
| Authorized Official Name and Position | John C Weaver (PRESIDENT) |
| Authorized Official Contact | 3237248164 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John C Weaver Md A Professional Corporation Po Box 424 Culver City CA 90232-0424 Ph: (323) 724-8164 | John C Weaver Md A Professional Corporation 204 S Atlantic Blvd Suite 2 Los Angeles CA 90022-1755 Ph: (323) 724-8164 |
| NPI Number | 1366577744 |
|---|---|
| Provider Enumeration Date | 02/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366577744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | G35959 (California) | Primary |
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