MEDICARE: E. LESLIE WEEKS MD R. ROMERO P.A

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	A252343	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184787582
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	E. LESLIE WEEKS MD R. ROMERO P.A

Provider Business Mailing Address
First Line	:	2060 ABORN RD
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95121-1584
Country	:	US
Telephone Number	:	408-223-9055
Fax Number	:	408-223-7490

Provider Business Practice Location Address
First Line	:	2060 ABORN RD
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95121-1584
Country	:	US
Telephone Number	:	408-223-9055
Fax Number	:	408-223-7490

Authorized Official
Title or Position	:	OWNER
Name	:	MR. EDWIN LESLIE WEEKS
Credential	:	M.D
Telephone Number	:	408-223-9055

Provider Enumeration Date	:	12/18/2006
Last Update Date	:	02/11/2008

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