MEDICARE: DR. DORIE ILENE WEISS PH.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	103TC0700X	Clinical Psychologist	PSY22224	CA

General Provider Information

NPI Number	:	1538312863
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DORIE ILENE WEISS PH.D.

Provider Business Mailing Address
First Line	:	12401 WILSHIRE BLVD STE 300
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90025-1087
Country	:	US
Telephone Number	:	310-403-7982
Fax Number	:

Provider Business Practice Location Address
First Line	:	12401 WILSHIRE BLVD STE 300
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90025-1087
Country	:	US
Telephone Number	:	424-209-9877
Fax Number	:

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

Provider Enumeration Date	:	10/30/2008
Last Update Date	:	10/15/2025

Similar Medicare Providers

1902762693 — ANGELA BRADSHAW
Practice Location Address:

12401 WILSHIRE BLVD STE 304
LOS ANGELES, CA
90025-1087

Practice Phone: 424-291-2763
Practice Fax:

1568517118 — DR. HILARY DUQUE GARLAND PSY.D.
Practice Location Address:

12401 WILSHIRE BLVD STE 300
LOS ANGELES, CA
90025-1087

Practice Phone: 818-519-9145
Practice Fax: 310-472-6658

1104953025 — MS. JENNIFER SIAN BOWEN STOREY MA
Practice Location Address:

12401 WILSHIRE BLVD STE 303
LOS ANGELES, CA
90025-1087

Practice Phone: 310-213-9888
Practice Fax:

1396940417 — GWEN LOTERY MFT
Practice Location Address:

12401 WILSHIRE BLVD STE 300
LOS ANGELES, CA
90025-1087

Practice Phone: 310-401-0511
Practice Fax: 310-396-7680

1063650679 — LOUISE BALE
Practice Location Address:

12401 WILSHIRE BLVD STE 300
LOS ANGELES, CA
90025-1087

Practice Phone: 310-904-7103
Practice Fax:

1225267644 — DR. CHELSEA ANN GOTTFURCHT PSY.D.
Practice Location Address:

12401 WILSHIRE BLVD STE 303
LOS ANGELES, CA
90025-1087

Practice Phone: 310-866-1362
Practice Fax:

Directions to “ DR. DORIE ILENE WEISS PH.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.