MEDICARE: DR. JOSEPH NONE WEINTRAUB M.D.

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	2084P0800X	Psychiatry Physician	C33123	CA

General Provider Information

NPI Number	:	1427172063
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH NONE WEINTRAUB M.D.

Provider Business Mailing Address
First Line	:	1015 CENTER ST
Second Line	:
City	:	SANTA CRUZ
State	:	CA
Zip	:	95060-3703
Country	:	US
Telephone Number	:	831-426-6884
Fax Number	:	831-469-4099

Provider Business Practice Location Address
First Line	:	1015 CENTER ST
Second Line	:
City	:	SANTA CRUZ
State	:	CA
Zip	:	95060-3703
Country	:	US
Telephone Number	:	831-426-6884
Fax Number	:	831-469-4099

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/19/2007
Last Update Date	:	07/08/2007

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